Individual
EMILY RENEE WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202113193RN
OR
363L00000X
Nurse Practitioner
10006239
OR
363LF0000X
Family Nurse Practitioner
10006239
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10006239
OR
Other
Enumeration date
11/18/2022
Last updated
03/25/2025
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