NPI 1588947998

Kathy L Yellow Eagle

Practitioner Licensed Practical Nurse Grants Pass, OR

Practice location

Address: 1215 SW G St, Grants Pass, OR 97526-2544
Phone: (541) 476-2373
Fax: (541) 476-1526

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 094005162LPN (OR)

Other Licensed Practical Nurse providers in Oregon →

Registry record

NPI: 1588947998
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2011
Record last updated: 21 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.