| NPI | 1548453558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY GIBBENS RN/RN Fa 971-506-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 094000296RN) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-09-20 |