NPI 1013425156 · live from the CMS NPI Registry
Edith Donnelly
Registered Nurse, General Practice in Milwaukie, OR. National Provider Identifier 1013425156, active.
NPI record
| NPI | 1013425156 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 4115 Se Hager Ln, Milwaukie, OR 97267 |
| Practice phone | 716-491-0350 |
| Mailing address | 25143 S Loma Linda Dr, Beavercreek, OR 97004 |
| Enumerated | January 10, 2018 |
| Last updated | January 10, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 200440840rn (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.