Individual
CLAUDIA L WILFERD-MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
17405 KILLDEER DR., BEND, OR 97707
(541) 598-7129
(541) 322-0405
Mailing address
17405 KILLDEER DR., BEND, OR 97707
(541) 598-7129
(541) 322-0405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200680034DP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124361
L & I
WA
01
—
500000547
RR MEDICARE
WA
05
—
9609983
—
WA
Enumeration date
10/11/2005
Last updated
07/08/2007
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