Provider Demographics
NPI:1922391986
Name:WINKLER, ABBEY LAWREN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:LAWREN
Last Name:WINKLER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 W LINDA AVE
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-9601
Mailing Address - Country:US
Mailing Address - Phone:541-289-9966
Mailing Address - Fax:
Practice Address - Street 1:1155 W LINDA AVE
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-9601
Practice Address - Country:US
Practice Address - Phone:541-289-9966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16280174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist