Individual
PENN BURROWS WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61618 SUMMER SHADE DR, BEND, OR 97702-2014
(503) 250-3142
Mailing address
61618 SUMMER SHADE DR, BEND, OR 97702-2014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201705161RN
OR
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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