Provider Demographics
NPI:1396599759
Name:NURSEWISE DELEGATIONS, LLC
Entity type:Organization
Organization Name:NURSEWISE DELEGATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:503-949-6459
Mailing Address - Street 1:4000 MAPLETON DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-2142
Mailing Address - Country:US
Mailing Address - Phone:503-949-6459
Mailing Address - Fax:
Practice Address - Street 1:4000 MAPLETON DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-2142
Practice Address - Country:US
Practice Address - Phone:503-949-6459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty