Individual
BEVERLY A. FRISTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-7525
(503) 434-7549
Mailing address
599 GARLAND CT N, KEIZER, OR 97303-5640
(503) 779-5504
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
076035964RN
OR
Other
Enumeration date
05/02/2007
Last updated
04/13/2011
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