Doctor Name: | MRS. SANDRA MARIE FLANAGAN |
NPI Number: | 1043458573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 079033083RN |
Business Practice Address: | 92023 Purkerson Rd Junction City, OR - 974489426 |
Business Phone Number: | 5032941006 |
Business Fax Number: | 5032941006 |
Mailing Address: | Po Box 19765, PORTLAND |
State: | OR |
Postal Code: | 972800765 |
Phone Number: | 5032941006 |
Fax Number: | 5032941006 |
NPI Enumeration Date: | 01/21/2009 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 079033083RN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |