Individual
MARLENE DABESTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
296 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 646-9928
Mailing address
3265 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 646-9928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202210327NP-PP
OR
363LF0000X
Family Nurse Practitioner
95021112
CA
Other
Enumeration date
06/08/2022
Last updated
09/03/2024
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