Provider Demographics
NPI:1184272353
Name:DARLAND, VICKI VAN (RN)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:VAN
Last Name:DARLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38668 SW ELDERBERRY ST.
Mailing Address - Street 2:
Mailing Address - City:SCIO
Mailing Address - State:OR
Mailing Address - Zip Code:97374
Mailing Address - Country:US
Mailing Address - Phone:503-394-4087
Mailing Address - Fax:503-394-2305
Practice Address - Street 1:38668 SW ELDERBERRY ST.
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:OR
Practice Address - Zip Code:97374
Practice Address - Country:US
Practice Address - Phone:503-394-4087
Practice Address - Fax:503-394-2305
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider