Individual
GRETEL ELIZABETH HONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 SE WASHINGTON ST, DALLAS, OR 97338-2834
(503) 623-8301
Mailing address
525 SE WASHINGTON ST, DALLAS, OR 97338-2834
(503) 623-8301
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD26698
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006053
—
OR
01
—
025349029
BSOR
OR
Enumeration date
06/18/2006
Last updated
01/23/2013
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