Provider Demographics
NPI:1538825427
Name:BODIE, OKSANA (RN BSN)
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:BODIE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:MOROZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:1150 DARLENE LN APT 329
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1102
Mailing Address - Country:US
Mailing Address - Phone:541-515-3302
Mailing Address - Fax:
Practice Address - Street 1:1150 DARLENE LN APT 329
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1102
Practice Address - Country:US
Practice Address - Phone:541-515-3302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201391235RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse