Individual
CAITLIN HICKS WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
91112 N SPORES ST, COBURG, OR 97408-9527
(503) 858-3040
Mailing address
91112 N SPORES ST, COBURG, OR 97408-9527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142632RN
OR
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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