Individual
MICHELLE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7635
Mailing address
CMR 402 BOX 815, APO, AE 09180-0009
(910) 835-2146
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN213635
GA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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