Individual
SONJA L NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 TATONE ST, BOARDMAN, OR 97818-8076
(541) 481-7212
Mailing address
PO BOX 397, BOARDMAN, OR 97818-0397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200942258RN
OR
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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