Organization
WALLOWA VALLEY CENTER FOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JEWEL MCMILLAN (CASE MANAGER)
(541) 426-0801
Entity
Organization
Contact information
Practice address
301 W MAIN ST, ENTERPRISE, OR 97828-1245
(541) 426-0801
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
(541) 426-4524
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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