Individual
BETH A EVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-6611
Mailing address
4020 SHOT POUCH ROAD, BLODGETT, OR 97326
(541) 453-4112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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