Organization
INFRARED BREAST HEALTH,LLC
Active
Other names
Ingrid L. Edstrom, FNP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INGRID LARGE EDSTROM CFNP,M.ED.,BSN, CITT (PRESIDENT/OWNER)
(541) 302-2977
Entity
Organization
Contact information
Practice address
1102 HODSON LN, EUGENE, OR 97404-2944
(541) 302-2977
(541) 302-6565
Mailing address
1102 HODSON LN, EUGENE, OR 97404-2944
(541) 302-2977
(541) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
200550045-NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269858
—
OR
Enumeration date
12/04/2008
Last updated
05/05/2009
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