Organization
LWAFP, PC INC
Active
Other names
Rogue River Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M PICKER ANP (OWNER)
(541) 474-9400
Entity
Organization
Contact information
Practice address
216 E MAIN ST, ROGUE RIVER, OR 97537-9416
(541) 582-8899
Mailing address
216 E MAIN ST, ROGUE RIVER, OR 97537-9416
(541) 582-8899
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
200850056NP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
NP200250078
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174571186
NPI
OR
01
—
1427028224
NPI
OR
Enumeration date
01/08/2009
Last updated
12/03/2009
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