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1225639826
OCTAVIA M NIGHTINGALE
LAKE OSWEGO, OR
NPI
1225639826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric
(Licence: OR 513068)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
OCTAVIA M NIGHTINGALE
4190 COLLINS WAY
LAKE OSWEGO, OR 97035-3448
Phone number: 503-636-0966
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Mailing Address
OCTAVIA M NIGHTINGALE
4190 COLLINS WAY
LAKE OSWEGO, OR 97035-3448
Phone number: 503-636-0966
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