Individual
MRS. MISTY JEANNETTE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Mailing address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200141176RN
OR
Other
Enumeration date
03/22/2007
Last updated
04/07/2009
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