| Wellness Nursing's Way, Inc. | |
|
85955 Raven Ridge Ln Silver Lake OR 97638-9627 | |
| (541) 576-3070 | |
| (541) 576-3070 |
| Full Name | Wellness Nursing's Way, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 85955 Raven Ridge Ln, Silver Lake, Oregon |
| Authorized Official Name and Position | Patricia D Widenoja (PRESIDENT) |
| Authorized Official Contact | 5415763070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Nursing's Way, Inc. 85955 Raven Ridge Ln Silver Lake OR 97638-9627 Ph: (541) 576-3070 | Wellness Nursing's Way, Inc. 85955 Raven Ridge Ln Silver Lake OR 97638-9627 Ph: (541) 576-3070 |
| NPI Number | 1467848978 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467848978 | NPI | - | NPPES |
| 051750 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 078041667N1 (Oregon) | Primary |