Individual
WENDY THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Mailing address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0719
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW0719
OFFICE OF EQUITY AND INCLUSION
OR
Enumeration date
10/21/2016
Last updated
10/21/2016
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