National Provider Identifier Database

SALLY BEAVERS, RN – NPI #1548505464
Wound Care


Contact Information

SALLY BEAVERS, RN
29984 ELLENSBURG AVE
GOLD BEACH, OR97444
Phone: 541-469-0405
Fax:
Website:
Specialty Taxonomy Code
* Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for SALLY BEAVERS

NPI Number 1548505464
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 12/04/2012
Last updated 01/11/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 200842276RN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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