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NPI Code Detail

MEDICARE: MEMORIEE SCONCE RN

MEDICARE: MEMORIEE SCONCE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse090003323RNOR

General Provider Information

NPI Number : 1649108481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEMORIEE SCONCE RN
Provider Business Mailing Address
First Line : 402 MARTHA DRIVE
Second Line :
City : WINCHESTER
State : OR
Zip : 97495
Country : US
Telephone Number : 541-580-6906
Fax Number :
Provider Business Practice Location Address
First Line : 2700 NW STEWART PKWY
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1214
Country : US
Telephone Number : 541-677-4323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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