DELLA FOGERSON

NEWPORT, OR
NPI1124241054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200750110NP)
Enumeration Date2007-04-10
Last Update Date2007-11-19
Business Address
-- DELLA FOGERSON PNP
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
Mailing Address
-- DELLA FOGERSON PNP
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179