Individual
JULIANNE SUSAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(503) 538-2108
Mailing address
5558 LANDON ST SE, SALEM, OR 97306-2596
(564) 208-1958
(360) 735-9416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
098003059RN
OR
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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