Organization
WARM SPRINGS HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANEVA JUNE DOWTY (PHYSICIAN ASSISTANT)
(541) 553-1196
Entity
Organization
Contact information
Practice address
1270 KOTNUM ROAD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-1130
Mailing address
P.O. BOX 1209, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-1130
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
758
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
758
STATE OF ALASKA MEDICAL LICENSE
AK
Enumeration date
05/21/2007
Last updated
02/03/2009
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