Individual
DR. JUNE B WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-6444
Mailing address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-6444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19805
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080544
—
OR
05
—
12651249
—
NM
01
—
DO19805
STATE LICENSE ID
OR
01
—
NM004B96
BCBS
NM
Enumeration date
07/15/2005
Last updated
12/01/2011
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