Gregory Jividen, RN

NPI 1578040903 · on the registry since 2018

Practice

Address: 20370 Poe Sholes Dr
Bend, OR 97703
Phone: (541) 318-1377
Fax: (541) 330-6455
Organisation at this address: Telecare Corporation
Telecare Corporation
Telecare Corporation
Dechutes Recovery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 109

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-07-28

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