Colleen Lillie

NPI #1063963569 in Umatilla, Oregon

Provider Information

NPI Number: 1063963569
Entity Type: Individual
Name: Colleen Lillie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 290 WILLAMETTE ST
City: Umatilla
State: Oregon
ZIP Code: 97882-6601
Phone: (541) 922-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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