Individual
MISS HOLLIE LOUISE SIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 SE UGLOW AVE, DALLAS, OR 97338-2645
(503) 623-8376
Mailing address
1000 SE UGLOW AVE, DALLAS, OR 97338-2645
(503) 623-8376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202112422NP-PP
OR
363LF0000X
Family Nurse Practitioner
3016516
KY
Other
Enumeration date
08/19/2021
Last updated
11/11/2021
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