Individual
JUDITH LESLIE ENGLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
111 N 20TH ST, PHILOMATH, OR 97370-9621
(541) 368-4313
(541) 929-4967
Mailing address
815 NW JAMES AVE, CORVALLIS, OR 97330-9731
(541) 754-8090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
153888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15388
STATE LICENSE
OR
Enumeration date
02/24/2007
Last updated
07/08/2007
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