Provider Demographics
NPI:1689971996
Name:OLDENKAMP, NORMA JULIANNA (RN)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:JULIANNA
Last Name:OLDENKAMP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:JULIANNA
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1118 T ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-2474
Mailing Address - Country:US
Mailing Address - Phone:541-977-7703
Mailing Address - Fax:
Practice Address - Street 1:33142 CAMAS SWALE RD
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:OR
Practice Address - Zip Code:97426-9732
Practice Address - Country:US
Practice Address - Phone:541-510-3919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201043271RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse