Healthcare Provider Details

I. General information

NPI: 1821728239
Provider Name (Legal Business Name): DENISE FRANKINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 CHAD DR
EUGENE OR
97408-7428
US

IV. Provider business mailing address

706 MC CALL WAY
PHILOMATH OR
97370-9280
US

V. Phone/Fax

Practice location:
  • Phone: 541-465-6918
  • Fax:
Mailing address:
  • Phone: 406-431-7892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number15305
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: