Individual
JOY LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 SE FOWLER ST, ROSEBURG, OR 97470-4348
(541) 440-3532
(541) 440-3554
Mailing address
272 NW MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471-5597
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664434
—
OR
Enumeration date
01/17/2013
Last updated
06/23/2015
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