EMMELINE MIMI WIN RN
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1578334447- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 310 N VILLA RD STE 103, NEWBERG, OR, 971321886
- Phone
- (503) 215-4646
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: OR #24053797
All Addresses
MAILING
14278 SW LUKAR CT
TIGARD, OR, 972232045