Vickie Chisholm, RN
Individual provider Active NPI Registered Nurse · Prineville, OR
NPI 1669494282 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669494282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- Practice address
- 980 N Main St
Prineville, OR 97754 - Phone
- (541) 447-0707
- Fax
- (541) 447-0708
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000032611RNRN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | OR | Yes |
Addresses
Primary practice location
980 N Main St
Prineville, OR 97754
Mailing address
980 N Main St
Prineville, OR 97754
Phone (541) 447-0707
Other providers in Prineville, OR
- Tonya Chamness
- John Wesley Charles
- William Cody Daniel Charter
- Cheryl Nix LCSW LLC
- Alexander Cheslock
- Choices Recovery Services, LLC
- Elizabeth Christensen
- Sarah Christians
- Christiansen, LLC
- Mindy Lynn Christiansen
All providers in Prineville, OR · Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.