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Individual

KARA SUMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, QMHP-RN

Contact information

Practice address
1900 NE HIGHWAY 99W STE K, MCMINNVILLE, OR 97128-2757
(503) 714-6306
(503) 472-4511
Mailing address
650 NE 2ND ST UNIT 133, MCMINNVILLE, OR 97128-4762
(503) 714-6306

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
200942164RN
OR
163WC1500X
Community Health Registered Nurse
200942164RN
OR
163WE0003X
Emergency Registered Nurse
200942164RN
OR
163WG0000X
General Practice Registered Nurse
200942164RN
OR
163WN0800X
Neuroscience Registered Nurse
200942164RN
OR
163WN1003X
Nutrition Support Registered Nurse
200942164RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200942164RN
OR
163WS0200X
School Registered Nurse
200942164RN
OR
163WX0106X
Occupational Health Registered Nurse
200942164RN
OR

Other

Enumeration date
02/19/2020
Last updated
02/19/2020
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