Individual
MS. TASHA MARIE MANSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
241 S 35TH ST, SPRINGFIELD, OR 97478-6321
(541) 741-7118
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930485LPN
OR
Other
Enumeration date
04/16/2012
Last updated
07/23/2013
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