Organization
PNW WOUND CARE
Active
Organization
PNW WOUND CARE
Active
Other names
PNW Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY TOLLIVER NP (OWNER)
(541) 390-3858
Entity
Organization
Contact information
Practice address
3810 PACIFIC BLVD SW, ALBANY, OR 97321-7752
(541) 390-3858
(541) 666-3752
Mailing address
3810 PACIFIC BLVD SW, ALBANY, OR 97321-7752
(541) 390-3858
(541) 666-3752
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
06/09/2025
Update your record
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