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Individual

MS. BETTY GORACKE OLGUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
520 COUNTRY CLUB PKWY, EUGENE, OR 97401-6043
(541) 683-5001
Mailing address
407 C ST, SPRINGFIELD, OR 97477-4652

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099000229RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201904779NP-PP
OR

Other

Enumeration date
07/04/2018
Last updated
07/14/2019
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