Individual
DR. WINONA J. FIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
840 A ST, SPRINGFIELD, OR 97477-4710
(541) 746-8401
(541) 746-8402
Mailing address
PO BOX 76, SPRINGFIELD, OR 97477-0004
(541) 746-8401
(541) 746-8402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2194ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011342000
BLUE CROSS BLUE SHIELD
OR
05
—
020839
—
OR
01
—
02805-01
PACIFIC SOURCE
OR
01
—
800678
PROVIDENCE
OR
Enumeration date
05/23/2005
Last updated
10/29/2007
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