Individual
HUGO DE OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
424 WILLIAMS ST, MOSSYROCK, WA 98564-9001
(360) 983-3589
(360) 925-3180
Mailing address
PO BOX 326, MOSSYROCK, WA 98564-0326
(360) 983-3589
(360) 925-3180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60543520
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60543520
WA
363LF0000X
Family Nurse Practitioner
AP60543520
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045063
—
WA
01
—
G9012562
MEDICARE
WA
Enumeration date
04/28/2015
Last updated
10/21/2020
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