Individual
BRITTAINI LANIKA GOETTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 BROADWAY ST SW, ALBANY, OR 97321-2077
(541) 908-5701
Mailing address
840 BROADWAY ST SW, ALBANY, OR 97321-2077
(541) 974-4517
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
201506078RN
OR
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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