Individual
ROSA MICHELLE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3511
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130617LPN
OR
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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