Search › Oregon › 363L00000X
Desiree Dennull, FNP
NPI 1639793995 · on the registry since 2020
Practice
- Address
- 38843 Dexter Rd
Dexter, OR 97431 - Phone
- (541) 937-2134
- Fax
- (541) 937-1370
- Organisation at this address
- Peacehealth
Peacehealth
The Lakeside ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 970 1st Ave, Sweet Home, OR
- 180 Melton Rd, Creswell, OR
- 1515 Village Dr, Cottage Grove, OR
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-20
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