Individual
KARREN LAVONNE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1919 GARRISON ST, THE DALLES, OR 97058-1619
(541) 980-8375
Mailing address
1919 GARRISON ST, THE DALLES, OR 97058-1619
(541) 980-8375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142223RN
OR
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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