Individual
LAURILEE SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
738 DOERNER RD, ROSEBURG, OR 97471-9705
(541) 315-5195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201602603NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201602603NP-PP
OR
Other
Enumeration date
04/21/2016
Last updated
05/09/2016
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