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Individual

GAIL WIEBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
673 NW JACKSON AVE, CORVALLIS, OR 97330-4832
(541) 230-1630
(800) 747-7137
Mailing address
673 NW JACKSON AVE, CORVALLIS, OR 97330-4832
(541) 230-1630
(800) 747-7137

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950078NP
OR

Other

Enumeration date
07/01/2009
Last updated
06/24/2015
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