Individual
BEATRICE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(541) 776-9167
Mailing address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(541) 776-9167
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
081025144RN
OR
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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