Most Relevant Information
Provider Data
| NPI Number: | 1003546649 |
| Provider Name: | SHERRY LYNN WINDHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | CPT-0014143 |
Most Important Dates
| Enumeration Date: | 06/15/2022 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
2040 BROADWAY AVE
NORTH BEND
OR
974592328
Practice Location Phone/Fax
| Phone: | 5417567531 |
| Fax: |
Provider Mailing Location
2040 BROADWAY AVE
NORTH BEND
OR
974592328
Provider Mailing Phone/Fax
| Phone: | 5417567531 |
| Fax: |