Octavia M Nightingale
NPI #1225639826 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1225639826
- Entity Type
- Individual
- Name
- Octavia M Nightingale
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Nov 2, 2020
- Last Updated
- Nov 2, 2020
Practice Location
- Address
- 4190 COLLINS WAY
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-3448
- Phone
- (503) 636-0966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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