Individual
DONNA MESSERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRNBC, CWCN
Contact information
Practice address
1050 SW 3RD AVE, STE 1600, ONTARIO, OR 97914
(541) 881-2360
(541) 881-2365
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(541) 881-2360
(541) 881-2365
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201250200NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
NP898-A
ID
Other
Enumeration date
07/27/2006
Last updated
12/08/2016
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