Larry Fein JR. RN

NPI 1104075563 - Registered Nurse - 163WC1500X

NPI Details
NPI 1104075563
Gender Male
Enumeration Date 09/10/2008
Last Updated 09/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
21815 WILLAMETTE DR
WEST LINN OR, 97068-3232, US
Phone (503) 702-6665
Fax (503) 655-0112
Business Location
21815 WILLAMETTE DR
WEST LINN OR, 97068-3232, US
Phone (503) 702-6665
Fax (503) 655-0112
Toxanomy
Taxonomy Code 163WC1500X
License State Oregon
License Number 200040489RN
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According to our database, Mr. Larry Fein JR. RN NPI is 1104075563, taxonomy code is 163WC1500X and license number is 200040489RN, license state is located at Oregon. Larry Fein JR. RN physically located at 21815 Willamette Dr, West Linn OR, 97068-3232. NPI Number Larry Fein JR. RN has the Individual type.

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1104075563 NPI number is provided on an as is basis without warranty of any kind. 1104075563 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Fein JR. RN are for informational purposes only.