Organization

Wholistic Health For Women

Obstetrics & Gynecology Nurse Practitioner in Rosenburg, OR(View on Map)

Legal Business Name

Wholistic Health For Women

NPI Number

1104074459

NPI Type

Organization

Enumeration Date

08/28/2008

Specialties

(Taxonomies)

Code

363LX0001X
171100000X
261Q00000X
208D00000X
363L00000X
163WN1003X
133N00000X

Primary Taxonomy

Yes
No
No
No
No
No
No

Licenses

State

California
California
California

License Number

RN456541NP5830
AC5147
C51231

Contact
Information

Purpose

Mailing
Location

Address

909 CURRY RD
909 CURRY ROAD

City

Roseburg
Rosenburg

State

OR
OR

Postal Code

97471-8508
97471-8508

Country

US
US

Telephone Number

(619) 260-0810
(619) 260-0810

Authorized Official

Name

Ms. Suzann Gage

Title or Position

PRESIDENT AND EXECUTIVE DIRECTOR

Telephone Number

(619) 260-0810

Identifiers

Identifier

11881456

Identifier State

CA

Identifier Issuer

BLUE CROSS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/28/2022

Provider Address