Individual
AILIS FFIONA MARIE WADDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 W ASH ST, LEBANON, OR 97355-3334
(541) 220-1299
Mailing address
PO BOX 844, LEBANON, OR 97355-0844
(541) 220-1299
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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