Individual
SCOTT ALDEN WIDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-1412
(541) 963-1488
Mailing address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-1412
(541) 963-1488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201704653NP-PP
OR
Other
Enumeration date
09/07/2016
Last updated
08/04/2017
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