FAWN IBECCA BURGESS

CORVALLIS, OR
NPI1497020788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-03-20
Last Update Date2012-03-20
Business Address
Ms. FAWN IBECCA BURGESS RN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-750-1135
Mailing Address
Ms. FAWN IBECCA BURGESS RN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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