Organization
AMERICAN LIBERTY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERIN STONE (PRESIDENT)
(541) 643-7354
Entity
Organization
Contact information
Practice address
1301 SW PIONEER WAY, MYRTLE CREEK, OR 97457-9329
(541) 430-0099
Mailing address
1301 SW PIONEER WAY, MYRTLE CREEK, OR 97457-9329
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
091000499RN
OR
Other
Enumeration date
01/04/2014
Last updated
01/04/2014
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