Warren, Wendy A

Warren, Wendy A is an individual health care provider with primary practice located at 2821 Daggett Ave Ste 100 , Klamath Falls OR 97601-1106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Warren, Wendy A can be contacted via phone (541) 274-6733.

Contact Information

Primary practice address
2821 Daggett Ave Ste 100 Klamath Falls OR 97601-1106
Fax: (541) 274-2006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18071 Oregon

Profile Details

NPI number 1992836472
LBN Legal business name Warren, Wendy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Feb 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992836472 NPPES
Oregon MEDICAID 052352

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