Individual provider · Type 1 NPI

Carissa Fawn Blank, LPN

Licensed Practical Nurse · Eugene, OR

NPI number 1114356714 Active

Practice location

151 W 7th Ave, Suite 100
Eugene, OR 97401-1100

Call (541) 682-8779 Map

Fax (541) 682-9924

Mailing address

25110 Perkins Rd
Veneta, OR 97487-9756

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201393726LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114356714

Carissa Fawn Blank, LPN's National Provider Identifier is 1114356714, issued on Nov 4, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eugene, OR. The record was last updated on Apr 30, 2015.