Individual provider · Type 1 NPI
Octavia M. Nightingale
Pediatric Skilled Nursing Facility · Lake Oswego, OR
NPI number
1225639826
Active
Practice location
4190 Collins Way
Lake Oswego, OR 97035-3448
Fax (503) 675-3552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 513068 (OR) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1225639826
Octavia M. Nightingale's National Provider Identifier is 1225639826, issued on Nov 2, 2020. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Lake Oswego, OR. The record was last updated on Nov 2, 2020.