Individual
KAMARA MARIE DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
644 RAY LN, ASHLAND, OR 97520-2466
(541) 404-4485
(541) 225-4884
Mailing address
644 RAY LN, ASHLAND, OR 97520-2466
(541) 404-4481
(541) 225-4884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200950101NP FNP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
200950101NP FNP-PP
OR
363LF0000X
Family Nurse Practitioner
APRN1836
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI
OR
01
—
161133
GROUP MEDICAID
OR
05
—
500611143
—
OR
01
—
R0000WFBTV
GROUP MEDICARE
OR
Enumeration date
08/11/2009
Last updated
10/23/2023
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