Individual
KATELYN PROPHETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-7300
Mailing address
2699 W 15TH AVE, JUNCTION CITY, OR 97448-8363
(915) 261-2184
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
202112788RN
OR
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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