Pat Widenoja FNP
Pat Widenoja FNP is a Clinic/Center in Christmas Valley, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
Practice location Address checks out
87520 Bay Rd Pob 377Christmas Valley, OR 97641-0377
Phone: (541) 576-2343
Fax: (541) 576-2869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 078041667 (OR) |
|---|
Record details
| NPI number | 1457745101 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Widenoja — Owner · (541) 576-2343 |
| Other names | North Lake Clinic |
| NPI enumerated | March 20, 2015 |
| Last updated in NPPES | March 20, 2015 |
| Mailing address | Pob377, 87520 Bay Rd, Christmas Valley, OR 97641 |