IndividualActive
Jean Oldham
NPI 1124844428 · Registered Nurse · Phoenix, OR
Provider details
- NPI number
- 1124844428
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200942872RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
745 N Rose St
Phoenix, OR 97535-5704
Phone: (541) 535-6239
Approximate (ZIP-level) locationGet directions
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Additional practice locations (1)
- 2838 W Main StMedford, OR 97501-2405Phone: (541) 535-6239
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.