Organization
WESTERN SKIES WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON ROSS AYLETT AGPCNP (NURSE PRACTITIONER)
(541) 663-9008
Entity
Organization
Contact information
Practice address
1807 COVE AVE, LA GRANDE, OR 97850-3516
(541) 663-9008
(541) 624-5454
Mailing address
1807 COVE AVE, LA GRANDE, OR 97850-3516
(541) 663-9008
(541) 624-5454
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
06/12/2024
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