Individual
DENISE INGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1548 SOUTH EAST PINE STREET, ROSEBURG, OR 97470
(541) 643-9879
Mailing address
1548 SE PINE ST, ROSEBURG, OR 97470-4018
(541) 643-9879
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200541288RN
OR
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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