| NPI | 1609666064 |
|---|---|
| Doing Business As | PNW WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | BRANDY TOLLIVER Owner 541-390-3858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-06-09 |