Individual
MS. ANNMARIE CC OVERHOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2251 E HANCOCK ST, NEWBERG, OR 97132-2145
(971) 281-3000
(503) 357-4371
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL17910
OR
207Q00000X
Family Medicine Physician
Primary
MD155418
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636504
—
OR
Enumeration date
08/22/2008
Last updated
11/03/2015
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