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Contact Information

SALLY BEAVERS, RN
29984 ELLENSBURG AVE
GOLD BEACH, OR97444
 Phone: 541-469-0405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for SALLY BEAVERS · (Female)

NPI # 1548505464
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 12/04/2012
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 200842276RN
Hospital affiliation(s) Not Available
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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