Individual
KATIE WEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1684 HINES BLVD, BURNS, OR 97720-2345
(541) 589-3146
Mailing address
1684 HINES BLVD, BURNS, OR 97720-2345
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
10011319
OR
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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