Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 202106043NP-PP | OR |
NPI | 1336562974 |
---|---|
Provider Name | Mrs. Esther Grizelda Toe-Mcpherson |
First Address | Grants Pass, OR 97526-1051 |
Second Address | Cave Junction, OR 97523-9332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2014 |
Last Update Date | 06/10/2021 |