Organization
WARM SPRINGS HEALTH AND WELLNESS CENTER
Active
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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