IndividualActive
Colleen Lillie
NPI 1063963569 · Registered Nurse · Umatilla, OR
Provider details
- NPI number
- 1063963569
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 081001417RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
290 Willamette St
Umatilla, OR 97882-6601
Phone: (541) 922-0880
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sunset Dr
Ontario, OR 97914-3121
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.