Individual
MS. JUDY L WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, RUILDING 101, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, RUILDING 101, PORTLAND, OR 97239-2964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00027323RN
OR
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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