Organization
WILSONVILLE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ANN SCHIERHOLZ (MANAGING DIRECTOR)
(971) 998-8755
Entity
Organization
Contact information
Practice address
29702 SW TOWN CENTER LOOP W, SUITE C, WILSONVILLE, OR 97070-6481
(503) 482-5570
(503) 855-3058
Mailing address
29702 SW TOWN CENTER LOOP W, SUITE C, WILSONVILLE, OR 97070-6481
(503) 482-5570
(503) 855-3058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500696731
—
OR
Enumeration date
12/02/2015
Last updated
08/08/2016
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