Organization
WARM SPRINGS HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE LEE RUDDER PMAC (PODIATRY TECH NURSING ASSISTANT)
(541) 553-1196
Entity
Organization
Contact information
Practice address
1270 KOT NUM ROAD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2613
Mailing address
PO BOX 1209, 1270 KOT NUM ROAD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2613
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3268
AMERICAN SOCIETY OF PODIA
OR
Enumeration date
02/15/2007
Last updated
08/22/2020
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