Individual
VICKI JOY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 HICKORY ST NW STE 300, ALBANY, OR 97321-1700
(541) 812-5700
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250059NPFNPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200250059NP FNP-PP
LICENSE
OR
Enumeration date
01/31/2006
Last updated
10/28/2024
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