Individual
PAULA YVONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
375 NW BEAVER ST, SUITE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
Mailing address
375 NW BEAVER ST, SUITE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200640348RN
OR
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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