Individual
CHERYL L MALO-CLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
446 OAK ST, BROOKINGS, OR 97415-9612
(541) 412-8898
Mailing address
PO BOX 6579, BROOKINGS, OR 97415-0285
(541) 412-8898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
00494
NV
363L00000X
Nurse Practitioner
14753
CA
363LF0000X
Family Nurse Practitioner
Primary
200950082NP
OR
Other
Enumeration date
05/21/2007
Last updated
08/14/2014
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