Winding Waters Medical Clinic

NPI #1114631322 in Wallowa, Oregon

Provider Information

NPI Number
1114631322
Entity Type
Organization
Organization Name
Winding Waters Medical Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
WINDING WATERS MEDICAL CLINIC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 11, 2023
Last Updated
Sep 13, 2023

Practice Location

Address
605 W HWY 82
State
Oregon
ZIP Code
97885-7114
Phone
(541) 426-4502

Authorized Official

Name
KELI JEAN DENNIS
Title
AUTHORIZED OFFICIAL
Phone
(541) 426-4502

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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