Individual
DR. HOLLY JO L HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2995 RYAN DRIVE, SE, SUITE #200, SALEM, OR 97301
(503) 371-7701
(503) 371-8046
Mailing address
4040 N. SHASTA LOOP, EUGENE, OR 97405
(541) 343-0079
(541) 636-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19870
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082201
—
OR
Enumeration date
02/24/2006
Last updated
10/20/2014
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