Individual provider · Type 1 NPI
Kirk William Austbo, R.N., B.S.N.
Psychiatric/Mental Health Registered Nurse · Medford, OR
NPI number
1285853341
Active
Practice location
1911 Hazel St.
Medford, OR 97504
Fax (541) 734-3960
Mailing address
905 Oak St
Ashland, OR 97520-1266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | None listed |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1285853341
Kirk William Austbo, R.N., B.S.N.'s National Provider Identifier is 1285853341, issued on Apr 25, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2007.