Individual
OLIVIA ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1108 JUNE ST, HOOD RIVER, OR 97031-1513
(541) 387-6125
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00124056
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
201250076NP
OR
363LF0000X
Family Nurse Practitioner
AP60045673
WA
Other
Enumeration date
08/18/2008
Last updated
11/30/2021
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