NORTHWEST HOSPICE, LLC,DBA WASATCH PEAK PRIMARY AND PALLIATIVE
Nursing at 100, Logan, UT

License number
Utah 270407-1205
Category
Osteopathic Medicine
Type
Family Medicine
License number
Utah 9812985-44
Category
Nursing
Type
Family
License number
Utah NP1329A
Category
Nursing
Type
Family
License number
Utah NP1511A
Category
Nursing
Type
Family
License number
Utah NP1654A
Category
Nursing
Type
Family
License number
Utah 4779643-8900
Category
Nursing
Type
Family
Owner
Name: ROBERT THOMAS JR.
Title: PRESIDENT
Phone: (503) 783-2472
Address
Address 2
74 W 100 N, Logan, UT 84321
25117 SW Parkway Ave STE F, Charbonneau, OR 97070
National Provider ID: 1336698075
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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