Individual
MS. DENNEL G BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4351 KENTHORPE WAY, WEST LINN, OR 97068-2115
(503) 635-4947
(503) 635-4536
Mailing address
4351 KENTHORPE WAY, WEST LINN, OR 97068-2115
(503) 635-4947
(503) 635-4536
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049-742
CONTRACT RN PROVIDER#
OR
Enumeration date
09/27/2006
Last updated
07/08/2007
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