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Octavia Nightingale
NPI 1225639826 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4190 Collins Way
Lake Oswego, OR 97035 - Phone
- (503) 636-0966
- Fax
- (503) 675-3552
Registry record
- Primary taxonomy
- 3140N1450X
3140N1450X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon