Individual
WENDY ANN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
151 W 7TH AVE STE 163, EUGENE, OR 97401-2676
(541) 682-4560
(541) 682-3967
Mailing address
3208 LAKESIDE DR, EUGENE, OR 97401-1590
(813) 610-5855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201709744LPN
OR
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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