Doctor Name: | CONNIE JEANNE TORRES |
NPI Number: | 1891917605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | |
Business Practice Address: | 12911 Sw Wheat Grass Rd Crooked River Ranch, OR - 977607849 |
Business Phone Number: | 5415040610 |
Business Fax Number: | |
Mailing Address: | 12911 Sw Wheat Grass Rd, CROOKED RIVER RANCH |
State: | OR |
Postal Code: | 977607849 |
Phone Number: | 5415040610 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |