Individual
JOAN DE VOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5351
(503) 585-4908
Mailing address
30082 S LYNN MARIE LN, COLTON, OR 97017-9437
(503) 824-5626
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
000026333RN
OR
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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