Organization
WESTERN UNIVERSITY OF HEALTH SCIENCES
Active
Parent organization
WESTERN UNIVERSITY OF HEALTH SCIENCES
Other names
WesternU Patient Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN UNIVERSITY OF HEALTH SCIENCES
Authorized official
MR. KEVIN SHAW (CFO/TREASURER)
(909) 469-5401
Entity
Organization
Contact information
Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 259-0200
Mailing address
795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
38807996
OR
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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