Organization · Type 2 NPI

Pat Widenoja FNP

Clinic/Center · Christmas Valley, OR

NPI number 1457745101 Active

Practice location

87520 Bay Rd, Pob 377
Christmas Valley, OR 97641-0377

Call (541) 576-2343 Map

Fax (541) 576-2869

Mailing address

POB377, 87520 Bay Rd
Christmas Valley, OR 97641

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X078041667 (OR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7 other providers at this address

About NPI 1457745101

Pat Widenoja FNP's National Provider Identifier is 1457745101, issued on Mar 20, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Christmas Valley, OR. The record was last updated on Mar 20, 2015.