Individual
DANA M SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 TWIN OAKES AVE, SUITE A-1, LEBANON, OR 97355
(541) 451-6920
(541) 451-6924
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 451-6920
(541) 451-6924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200950010NP
OR
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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