Organization
WHOLISTIC HEALTH FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANN A. GAGE APNP, WHNP, LAC (PRESIDENT AND EXECUTIVE DIRECTOR)
(619) 260-0810
Entity
Organization
Contact information
Practice address
909 CURRY ROAD, ROSENBURG, OR 97471-8508
(619) 260-0810
(541) 802-0787
Mailing address
909 CURRY RD, ROSEBURG, OR 97471-8508
(619) 260-0810
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
163WN1003X
Nutrition Support Registered Nurse
RN456541NP5830
CA
171100000X
Acupuncturist
AC5147
CA
208D00000X
General Practice Physician
C51231
CA
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
RN456541NP5830
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN456541NP5830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11881456
BLUE CROSS
CA
Enumeration date
08/28/2008
Last updated
09/28/2022
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