Organization
ATHENA MEDICAL & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEI HARRIS (OWNER)
(541) 283-5662
Entity
Organization
Contact information
Practice address
3688 CHESTER ST, NORTH BEND, OR 97459-2418
(541) 283-5662
(541) 866-3688
Mailing address
3688 CHESTER ST, NORTH BEND, OR 97459-2418
(541) 283-5662
(541) 866-3688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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