Victoria Couch
Individual provider Active NPI Licensed Practical Nurse · Creswell, OR
NPI 1821487992 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1821487992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 201030045 (OR)
- Practice address
- 82771 Bradford Rd
Creswell, OR 97426-9845 - Phone
- (310) 968-8042
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 201030045 | OR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 201030045 | OR | Yes |
Addresses
Primary practice location
82771 Bradford Rd
Creswell, OR 97426-9845
Mailing address
82771 Bradford Rd
Creswell, OR 97426-9845
Other providers in Creswell, OR
- Brian Cantoran
- Care Center (Laneco) Inc
- Marco Caturegli
- Children First Therapy LLC
- Jeremiah Frank Clark
- Amyjean W Coumas
- Creswell SNF Healthcare LLC
- Creswell Wellness Center
- Ashley Delu
- Robin Jay Edwards
All providers in Creswell, OR · Licensed Practical 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 13, 2015. 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.