Organization
WHOLISTIC WELLNESS OF THE WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE WARNER (ADMIN)
(541) 255-3905
Entity
Organization
Contact information
Practice address
1755 COBURG RD UNIT 401, EUGENE, OR 97401-4984
(541) 255-3905
(541) 255-3959
Mailing address
1755 COBURG RD UNIT 401, EUGENE, OR 97401-4984
(541) 255-3905
(541) 255-3959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137345
—
OR
Enumeration date
02/15/2023
Last updated
02/15/2023
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