Individual
MRS. KRISTI DARIA TILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 WILLAMETTE ST, EUGENE, OR 97401-3113
(541) 935-0408
(541) 935-6270
Mailing address
PO BOX 432, VENETA, OR 97487-0432
(541) 935-0408
(541) 935-6270
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
096003255RN
OR
Other
Enumeration date
01/03/2013
Last updated
01/04/2013
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