Octavia M Nightingale Valid NPI

Individual provider · Pediatric Skilled Nursing Facility · Lake Oswego, OR

NPI

1225639826

Type

Individual (Type 1)

Primary specialty

Pediatric Skilled Nursing Facility (Skilled Nursing Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3140N1450X

License number

513068 (OR)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-11-02

Last updated

2020-11-02