Individual
AMY COLLEEN ZIOLKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2360 CHAMBERS ST, EUGENE, OR 97405-1861
(541) 687-1310
Mailing address
1962 ADELMAN LOOP, EUGENE, OR 97402-6527
(541) 514-6071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230552LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201230552LPN
OSBN
OR
Enumeration date
03/31/2014
Last updated
03/31/2014
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