Provider Demographics
NPI:1982287512
Name:LUOMA, DONNA MARIE (RN, TATTOO ARTIST)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:LUOMA
Suffix:
Gender:F
Credentials:RN, TATTOO ARTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1184 NETZEL ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-3836
Mailing Address - Country:US
Mailing Address - Phone:503-998-9799
Mailing Address - Fax:
Practice Address - Street 1:1184 NETZEL ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-3836
Practice Address - Country:US
Practice Address - Phone:503-998-9799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200640023RN163W00000X
ORBAP-TA-10201970225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No163W00000XNursing Service ProvidersRegistered Nurse