Individual
MS. ELAINE S BRISBINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
58051 COLUMBIA RIVER HWY, WARREN, OR 97053-9417
(503) 396-2927
Mailing address
58051 COLUMBIA RIVER HWY, WARREN, OR 97053-9417
(503) 396-2927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930418LPN
OR
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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