Individual
MS. VICKIE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
980 N MAIN ST, PRINEVILLE, OR 97754
(541) 447-0707
(541) 447-0708
Mailing address
980 N MAIN ST, PRINEVILLE, OR 97754
(541) 447-0707
(541) 447-0708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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