Individual
KAMALA MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
802 NE 5TH ST, DUFUR, OR 97021-3034
(541) 467-2509
Mailing address
802 NE 5TH ST, DUFUR, OR 97021-3034
(541) 467-2509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201241875RN
OR
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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