Individual provider · Type 1 NPI

Constance Jean Street, RN

Ambulatory Care Registered Nurse · Warm Springs, OR

NPI number 1780747592 Active

Practice location

1270 Kot-Num Rd
Warm Springs, OR 97761

Fax (541) 553-1130

Mailing address

191 NE 11th St
Madras, OR 97741-1832

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XNone listed

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1780747592

Constance Jean Street, RN's National Provider Identifier is 1780747592, issued on Dec 19, 2006. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Warm Springs, OR. The record was last updated on Jul 8, 2007.