Individual
ALICE JEAN SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1233 W HILLS RD, PHILOMATH, OR 97370-9403
(626) 999-6692
Mailing address
1233 W HILLS RD, PHILOMATH, OR 97370-9403
(626) 999-6692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10051032
OR
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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