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Visana Wellness, LLC

NPI #1427293349 in Brookings, Oregon

Provider Information

NPI Number
1427293349
Entity Type
Organization
Organization Name
Visana Wellness, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 5, 2008
Last Updated
Dec 5, 2008

Practice Location

Address
603 HEMLOCK STREET
Address 2
3B
City
Brookings
State
Oregon
ZIP Code
97415-9999
Phone
(541) 469-9100

Authorized Official

Name
MR. TRACEY STEPHEN KATHER, FNP
Title
OWNER
Phone
(541) 251-1010

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary Care — Primary Care

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