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Doctors / OR
NURSE PRACTITIONER
Graduated: 2020
NPI: 1912659418
COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
480 WARTAHOO LN, COW CREEK HLTH AND WELLNESS CTR
CANYONVILLE, OR 974179683
5418391345
Source: CMS National Downloadable File, September 2026.