Provider Demographics
NPI:1326217555
Name:O'BIEN, NORMA L
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:L
Last Name:O'BIEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-1720
Mailing Address - Country:US
Mailing Address - Phone:541-416-2067
Mailing Address - Fax:541-416-4066
Practice Address - Street 1:430 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-1720
Practice Address - Country:US
Practice Address - Phone:541-416-2067
Practice Address - Fax:541-416-2066
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker