Individual
BETH LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-4983
(541) 492-0241
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 492-0241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201605321RN
OR
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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