Individual
AMY JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
470 NE A ST, MADRAS, OR 97741-1844
(541) 460-4030
(541) 475-0602
Mailing address
1505 NW BIRCH LN, MADRAS, OR 97741-9044
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
086003275RN
OR
163WH1000X
Hospice Registered Nurse
086003275RN
OR
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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