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Individual

LYNN HOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
725 S. WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7556
(503) 717-7476
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
(503) 215-6446
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250052NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000683
OR
Enumeration date
10/13/2006
Last updated
09/28/2020
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