| Carissa Fawn Blank, LPN | |
|
151 W 7th Ave, Suite 100, Eugene, OR 97401-1100 | |
| (541) 682-8779 | |
| (541) 682-9924 |
| Full Name | Carissa Fawn Blank |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 151 W 7th Ave, Eugene, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114356714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201393726LPN (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carissa Fawn Blank, LPN 25110 Perkins Rd, Veneta, OR 97487-9756 Ph: (541) 505-0498 | Carissa Fawn Blank, LPN 151 W 7th Ave, Suite 100, Eugene, OR 97401-1100 Ph: (541) 682-8779 |
Patricia Snow Aldal, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2188 N Danebo Ave, Eugene, OR 97402 Phone: 541-359-6564 | |
Silvia Georgina Talavera, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3220 Crescent Ave, 74, Eugene, OR 97408 Phone: 541-505-8666 | |
Katherine Elder, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 463 E Anchor Ave, Eugene, OR 97404 Phone: 541-232-1805 | |
Mrs. Debra Jean Martin, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2477 Lakeview Dr Apt 202, Eugene, OR 97408 Phone: 541-221-8982 | |
Haley Iten, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 432 W 11th Ave, Eugene, OR 97401 Phone: 541-662-4464 | |
Lori Ann Edmond, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3717 Riviera, Eugene, OR 97402 Phone: 541-513-9508 | |
Mrs. Rasia Mykono Santiago, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 W 7th Ave, Eugene, OR 97401 Phone: 541-682-3550 |