Provider Demographics
NPI:1275935876
Name:WORLEY, DAWN (BA)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:WORLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 CANNON AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-5722
Mailing Address - Country:US
Mailing Address - Phone:541-205-3118
Mailing Address - Fax:
Practice Address - Street 1:3211 CANNON AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-5722
Practice Address - Country:US
Practice Address - Phone:541-205-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator