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Contact Information

PREMIER WOUND HEALING
320 SW CENTURY DR STE 405-392
BEND, OR97702-3037
 Phone: 541-280-6201
 Fax: 541-280-6201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for PREMIER WOUND HEALING · (Female)

NPI # 1407554819
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2023
Last updated 03/28/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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