# WHOLISTIC HEALTH FOR WOMEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104074459
- **Authorized official:** MS. SUZANN A. GAGE APNP, WHNP, LAC (PRESIDENT AND EXECUTIVE DIRECTOR)
- **Authorized official phone:** (619) 260-0810

## Contact information

- **Practice address:** 909 CURRY ROAD, ROSENBURG, OR 97471-8508
- **Practice address phone:** (619) 260-0810
- **Practice address fax:** (541) 802-0787
- **Mailing address:** 909 CURRY RD, ROSEBURG, OR 97471-8508
- **Mailing address phone:** (619) 260-0810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 163WN1003X | Nutrition Support Registered Nurse | RN456541NP5830 | CA | — |
| 171100000X | Acupuncturist | AC5147 | CA | — |
| 208D00000X | General Practice Physician | C51231 | CA | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | RN456541NP5830 | CA | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | RN456541NP5830 | CA | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 09/28/2022