Healthcare Provider Details

I. General information

NPI: 1689746158
Provider Name (Legal Business Name): ROSEMARY P SAVARD RN FIRST ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 CLAY ST UNIT 62
ASHLAND OR
97520-7379
US

IV. Provider business mailing address

321 CLAY ST UNIT 62
ASHLAND OR
97520-7379
US

V. Phone/Fax

Practice location:
  • Phone: 541-488-2006
  • Fax: 541-535-3821
Mailing address:
  • Phone: 541-488-2006
  • Fax: 541-535-3821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: