Individual
ANNELEISE ROADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 AERIAL WAY APT 212, EUGENE, OR 97402-8742
(541) 729-3633
Mailing address
4075 AERIAL WAY APT 212, EUGENE, OR 97402-8742
(541) 729-3633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200742117RN
OR
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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