Individual
MRS. HOLLY JEAN NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39971 GATES SCHOOL RD, GATES, OR 97346-9604
(503) 509-8176
Mailing address
PO BOX 525, GATES, OR 97346-0525
(503) 509-8176
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
201403741
OR
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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