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Individual

MICHELLE NILSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3355 RIVERBEND DR # 510, SPRINGFIELD, OR 97477-8800
(541) 868-9555
Mailing address
4471 JESSICA DR, SPRINGFIELD, OR 97478-7544

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200241527RN
OR

Other

Enumeration date
03/04/2018
Last updated
03/04/2018
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