Provider Demographics
NPI:1164918454
Name:WINKS, SHERRIE
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:WINKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77588 S EDWARDS RD
Mailing Address - Street 2:
Mailing Address - City:STANFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97875-4523
Mailing Address - Country:US
Mailing Address - Phone:541-786-8731
Mailing Address - Fax:
Practice Address - Street 1:77588 S EDWARDS RD
Practice Address - Street 2:
Practice Address - City:STANFIELD
Practice Address - State:OR
Practice Address - Zip Code:97875-4523
Practice Address - Country:US
Practice Address - Phone:541-786-8731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201500022RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse