Individual
MS. GEORGANN DORTHE WINGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Mailing address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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