EDITH DONNELLY
NPI 1013425156
Registered Nurse - General Practice in Milwaukie, OR
Active since January 10, 2018
About Edith Donnelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDITH DONNELLY (NPI 1013425156) is an individual general practice provider in Milwaukie, Oregon, licensed in Oregon (200440840RN) and active in the NPI registry since January 2018.
NPPES Registry Identity
NPI1013425156
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameEDITH DONNELLY
Location Address4115 SE HAGER LNMilwaukie, OR 97267-2925
Mailing Address25143 S Loma Linda DrBeavercreek, OR 97004-9643
Phone(716) 491-0350
Sole ProprietorNo
Enumeration DateJanuary 10, 2018
✔ NPI 1013425156 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in OR · 200440840RN
4115 SE HAGER LN, Milwaukie, OR 97267
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013425156, enumerated as an "individual" on January 10, 2018.
The provider is located at 4115 SE HAGER LN MILWAUKIE, OR 97267 and the phone number is (716) 491-0350.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
