Individual
LINDSEY WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
23495 DOANE CREEK RD, SHERIDAN, OR 97378-9515
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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