Individual
LINDA JOAN CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3400
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
093003237RN
OR
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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