Elisabeth Bueschen-Monahan
Individual provider Active NPI Licensed Vocational Nurse · Gales Creek, OR
NPI 1811186232 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1811186232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN170738 (CA)
- Practice address
- 54655 NW Old Wilson River Rd
Gales Creek, OR 97117-9327 - Phone
- (503) 784-4812
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN170738 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN170738 | CA | Yes |
Addresses
Primary practice location
54655 NW Old Wilson River Rd
Gales Creek, OR 97117-9327
Mailing address
54655 NW Old Wilson River Rd
Gales Creek, OR 97117-9327
Phone (503) 784-4812
Other providers in Gales Creek, OR
All providers in Gales Creek, OR · Licensed Vocational 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 Jan 18, 2017. 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.