Individual
NANCY J WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1445 GATEWAY BLVD, SUITE D, COTTAGE GROVE, OR 97424
(541) 942-7000
(541) 942-5550
Mailing address
PO BOX 607, COTTAGE GROVE, OR 97424
(541) 942-7000
(541) 942-5550
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0440OR
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182252
—
OR
Enumeration date
07/15/2005
Last updated
10/16/2007
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