Provider Demographics
NPI:1205103199
Name:FOLEY, WENDY LEE (LAC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:LEE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1686
Mailing Address - Country:US
Mailing Address - Phone:541-399-2132
Mailing Address - Fax:541-386-2015
Practice Address - Street 1:1808 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1686
Practice Address - Country:US
Practice Address - Phone:541-399-2132
Practice Address - Fax:541-386-2015
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC156348171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist