Individual
KIANA TAKEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-7525
Mailing address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201607014RN
OR
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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