Individual
TESSIE HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
616 10TH ST, OREGON CITY, OR 97045-1654
(503) 317-6877
Mailing address
616 10TH ST, OREGON CITY, OR 97045-1654
(503) 317-6877
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
201141629RN
OR
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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