Most Relevant Information
Provider Data
| NPI Number: | 1003546052 |
| Provider Name: | DIANE EILEEN WROE |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 106740 |
Most Important Dates
| Enumeration Date: | 06/13/2022 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
3425 13TH ST
BAKER CITY
OR
978141340
Practice Location Phone/Fax
| Phone: | 5415237400 |
| Fax: | 5415234927 |
Provider Mailing Location
3425 13TH ST
BAKER CITY
OR
978141340
Provider Mailing Phone/Fax
| Phone: | 5415237400 |
| Fax: | 5415234927 |