Individual
MRS. BETTE GAY SEAGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
143 NW 4TH AVE, CANBY, OR 97013-3101
(503) 263-6611
(503) 266-5674
Mailing address
143 NW 4TH AVE, CANBY, OR 97013-3101
(503) 263-6611
(503) 266-5674
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
000037573N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282467
—
OR
Enumeration date
12/18/2007
Last updated
10/25/2010
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