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Individual

MS. HOLLY BLISS TUMELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9500
(541) 386-9500
Mailing address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9500
(541) 386-9540

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA153245
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080385000
BLUE CROSS BLUE SHIELD
OR
05
223149
OR
01
OR1807
HEALTH NET
Enumeration date
08/22/2011
Last updated
07/21/2022
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