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Individual

KATIE C MORIOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
YELLOWHAWK TRIBAL HEALTH CENTER, 46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 278-4597
Mailing address
YELLOWHAWK TRIBAL HEALTH CENTER, PO BOX 160, PENDLETON, OR 97801
(541) 966-9830
(541) 278-4584

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201601590NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200705269
OR
Enumeration date
03/23/2016
Last updated
11/21/2024
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