Organization
PENNY DOREY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY DOREY (PT)
(503) 880-5391
Entity
Organization
Contact information
Practice address
31010 SW NEHALEM CT, WILSONVILLE, OR 97070-9736
(503) 880-5391
Mailing address
31010 SW NEHALEM CT, WILSONVILLE, OR 97070-9736
(503) 880-5391
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02642
OR
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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