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Lwafp, Pc Inc
Primary Care Nurse Practitioner in Rogue River, Oregon
NPI 1871730127

Lwafp, Pc Inc is a Primary Care Nurse Practitioner based in Rogue River, OR and is specialized in Primary Care. Lwafp, Pc Inc practices in Rogue River, OR. The NPI Number for Lwafp, Pc Inc is 1871730127 and holds a License No. NP200250078 (Oregon).

The current practice location address for Lwafp, Pc Inc is 216 E Main St, Rogue River, OR and can be reached out via phone at 541-582-8899.

Location: 216 E Main St, Rogue River, OR, 97537-9416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871730127
Provider Name
Lwafp, Pc Inc
Credential
Provider Entity Type
Organization
Address
216 E Main St, Rogue River, OR, 97537-9416
Phone Number
541-582-8899
Fax Number
Provider Enumeration Date
01/08/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427028224 01 OR NPI
1174571186 01 OR NPI
institution
Provider Business Practice Location Address Details
Address
216 E Main St
City
Rogue River
State
Oregon
Zip
97537-9416
Phone Number
541-582-8899
Fax Number
person
Provider Business Mailing Address Details
Address
216 E Main St
City
Rogue River
State
Oregon
Zip
97537-9416
Phone Number
541-582-8899
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
NP200250078 (Oregon)
Definition
Definition to come...
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