Organization
HIGH DESERT WOMEN'S CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MCRAE WHNP (PRESIDENT)
(541) 323-6274
Entity
Organization
Contact information
Practice address
1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
(541) 323-6274
Mailing address
1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
201601498NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500707886
—
OR
Enumeration date
04/05/2017
Last updated
04/05/2017
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