MR. Gregory Kent Jividen, RN

NPI #1578040903 in Bend, Oregon

Provider Information

NPI Number
1578040903
Entity Type
Individual
Name
MR. Gregory Kent Jividen, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jul 28, 2018
Last Updated
Jul 28, 2018

Practice Location

Address
20370 POE SHOLES DR
City
Bend
State
Oregon
ZIP Code
97703-7938
Phone
(541) 318-1377

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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