Individual
JULIE R WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 N ROSE ST, PHOENIX, OR 97535-5734
(541) 535-1065
(541) 512-2082
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
(541) 842-2212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
085068840RN
OR
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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