Individual
EVELYN RENNEA NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
54847 LAVA BED RD, PRINCETON, OR 97721-9574
(541) 359-5701
Mailing address
54847 LAVA BED RD, PRINCETON, OR 97721-9574
(541) 359-5701
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
202004005LPN
OR
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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