Doctor Name: | LINDA C WIDING |
NPI Number: | 1316961154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | DO18649 |
Business Practice Address: | 3240 Ne 3rd Ave Camas, WA - 986072408 |
Business Phone Number: | 3608382440 |
Business Fax Number: | 3608382450 |
Mailing Address: | 3240 Ne 3rd Ave, CAMAS |
State: | WA |
Postal Code: | 986072408 |
Phone Number: | 3608358440 |
Fax Number: | 8308358450 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | DO18649 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |