Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X | |||
Nutrition, Education |
133NN1002X |
| NPI # | 1255379566 |
| LBN Legal business name | WILLAMETTE COMMUNITY HEALTH SOLUTIONS |
| Authorized official | CHERYL BOYUM - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/02/2006 |
| Last updated | 02/24/2015 - About 11 years ago |
| Identifiers | n/a |
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