Unknown Individual – Family Nurse Practitioner, NPI 1609941533
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1065 PINE GATE WAY
WHITE CITY, OR 975038511
Phone: (707) 272-0652
Type: Mailing
1077, Gateway Loop, Springfield, Lane County, Oregon, 97477, United States
SPRINGFIELD, OR 974771114
Phone: (707) 272-0652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97503)
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