Individual
DEBORAH HALSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
407 W PICKETT CREEK RD, GRANTS PASS, OR 97527-9668
(541) 479-5898
Mailing address
407 W PICKETT CREEK RD, GRANTS PASS, OR 97527-9668
(541) 479-5898
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
084060670
OR
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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