MRS. VICTORIA LEE KONRADSON LPN DM NPI 1063617694

NPI Information

NPI: 1063617694
Provider Name: MRS. VICTORIA LEE KONRADSON, LPN DM
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
3221 SW 45TH ST
REDMOND, OR
ZIP 97756
Phone: (541) 390-2999
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MRS. Victoria Lee Konradson, LPN DM is a licensed practical nurse in Redmond, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Victoria Lee Konradson, LPN DM NPI is 1063617694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3221 SW 45TH ST
REDMOND, OR
ZIP 97756-519
Phone: (541) 390-2999

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		080011712LPN	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18235	OTHER	OREGON	OREGON BOARD OF MASSAGE THERAPISTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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