Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD202180 | OR |
N | 207Q00000X | Family Doctor | MD60646803 | WA |
NPI | 1003252354 |
---|---|
Provider Name | Wendy Yerington Dryden |
First Address | Bend, OR 97702-1099 |
Second Address | Bend, OR 97701-7752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 28/01/2021 |