Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SID CHRISTIAN KEOMANIVONG
ActiveSID CHRISTIAN KEOMANIVONG is a Primary Care Nurse Practitioner healthcare provider located in CENTRAL POINT, Oregon. NPI 1760960462 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · CENTRAL POINT, OR
Registration Details
- NPI Number
- 1760960462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2018 (8.0108850472286 yrs)
- Last Updated
- Oct 8, 2019
- License
-
201806379NP-PP (OR)
Practice Information
- Address
-
2677 BEALL LNCENTRAL POINT, OR, 975021462Browse OR providers · Browse ZIP 97502
- Phone
- 7023430466
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in CENTRAL POINT, OR
| Name | Credential | NPI |
|---|---|---|
| LAURIE B DAHL | FNP | 1881087245 |
| MRS. INGRID PASSIER | FNP | 1326783184 |
| JENNIFER ANNE SHEALY | NP | 1285426361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.