Individual
KARA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W BERDINE ST, ROSEBURG, OR 97471-2201
(541) 537-0697
Mailing address
134 W BERDINE ST, ROSEBURG, OR 97471-2201
(541) 537-0697
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
200612259CNA
OR
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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