Organization
WOMEN'S HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY SHANNON CNM, NP (NURSE PRACTITIONER)
(541) 984-3000
Entity
Organization
Contact information
Practice address
1755 COBURG RD, BLDG 1, SUITE 2, EUGENE, OR 97401-4982
(541) 984-3000
(541) 485-7266
Mailing address
1755 COBURG RD, BLDG 1, SUITE 2, EUGENE, OR 97401-4982
(541) 984-3000
(541) 485-7266
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
080045016N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760571079
INDIVIDUAL NPI
OR
Enumeration date
06/08/2012
Last updated
02/01/2013
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