Individual
KHRYSTAL LYNN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2025 PROVIDENCE ST, EUGENE, OR 97401-4975
(541) 968-1331
Mailing address
2025 PROVIDENCE ST, EUGENE, OR 97401-4975
(541) 968-1331
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
099000766RN
OR
Other
Enumeration date
07/12/2024
Last updated
11/11/2024
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