Individual
VINCENT GULBRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LPN
Contact information
Practice address
28246 SPENCER CREEK RD, EUGENE, OR 97405-9703
(541) 972-6449
Mailing address
28246 SPENCER CREEK RD, EUGENE, OR 97405-9703
(541) 972-6449
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10012771
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012771
OREGON STATE BOARD OF NURSING
OR
Enumeration date
06/17/2024
Last updated
06/17/2024
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