SCOTT ALDEN WIDENER

LA GRANDE, OR
NPI1073060034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  201704653NP-PP)
Enumeration Date2016-09-07
Last Update Date2017-08-04
Business Address
-- SCOTT ALDEN WIDENER FNP-C
900 SUNSET DR
LA GRANDE, OR 97850-1387
Phone number: 541-963-1412
Mailing Address
-- SCOTT ALDEN WIDENER FNP-C
900 SUNSET DR
LA GRANDE, OR 97850-1387
Phone number: 541-963-1412
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