Healthcare Provider Details

I. General information

NPI: 1548164296
Provider Name (Legal Business Name): ALICEN ALICIA OAKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALI OAKLEY RN

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 OAK ST
SILVERTON OR
97381-1719
US

IV. Provider business mailing address

35666 S BARLOW RD
WOODBURN OR
97071-8748
US

V. Phone/Fax

Practice location:
  • Phone: 503-874-4067
  • Fax:
Mailing address:
  • Phone: 503-930-1267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number10012913
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: