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Organization

VODA INTEGRATIVE MEDICAL CLINIC LLC

Active
Other names
Voda Integrative Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CHELSEA DESELMS FNP-C (NURSE PRACTITIONER)
(503) 476-1431
Entity
Organization

Contact information

Practice address
434 VILLA RD, NEWBERG, OR 97132-1855
(309) 620-4438
Mailing address
440 N VILLA RD, NEWBERG, OR 97132-1856

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
363LP2300X
Primary Care Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
03/19/2019
Last updated
04/30/2020
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