Individual
LEE ETTA GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(541) 273-1999
Mailing address
673 DEL FATTI LN, KLAMATH FALLS, OR 97603-9545
(541) 891-0956
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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