Individual
BAILEY ANNABELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W 7TH AVE, EUGENE, OR 97401-1100
(541) 682-4041
Mailing address
968 CALVIN ST, EUGENE, OR 97401-5318
(206) 475-7217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201906561RN
OR
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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