Individual
HOLLY SPAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20370 POE SHOLES DR, BEND, OR 97703-7938
(541) 318-1377
Mailing address
20370 POE SHOLES DR, BEND, OR 97703-7938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201602719RN
OR
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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