Individual
SUZANNE RUTH DUDEK DEWBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
671 SW MAIN ST, WINSTON, OR 97496-6571
(541) 492-4550
Mailing address
PO BOX 208, WINSTON, OR 97496-0208
(541) 643-6959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201706356NP-PP
OR
363LF0000X
Family Nurse Practitioner
201706356NP-PP
OR
Other
Enumeration date
08/14/2017
Last updated
07/13/2021
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