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Organization
OPTIMAL HEALTH OF SOUTHERN OREGON, LLC
Active
Organization
OPTIMAL HEALTH OF SOUTHERN OREGON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL CHARLES HEIDINGER MD (OWNER)
(541) 507-1948
Entity
Organization
Contact information
Practice address
1600 NW 6TH ST SOUTH SUITE, GRANTS PASS, OR 97526
(541) 507-1948
(541) 727-0382
Mailing address
1600 NW 6TH ST SOUTH SUITE, GRANTS PASS, OR 97526
(541) 507-1948
(541) 727-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18680
OR
Other
Enumeration date
09/07/2016
Last updated
04/18/2018
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