Individual
JESSICA L OLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 NW 11TH ST, SUITE E-15, HERMISTON, OR 97838-8605
(541) 567-6434
(541) 429-6613
Mailing address
600 NW 11TH ST, SUITE E-15, HERMISTON, OR 97838-8605
(541) 567-6434
(541) 429-6613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
204271
CO
363LF0000X
Family Nurse Practitioner
0990427-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
201401076NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19588828
—
CO
Enumeration date
08/09/2012
Last updated
06/27/2014
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