Individual
VALERIE A HIVELEY BLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1210 DRY HOLLOW RD STE 4, THE DALLES, OR 97058-3167
(541) 296-4804
(541) 296-3741
Mailing address
1015 WEBBER ST STE 100, THE DALLES, OR 97058-3527
(541) 296-4804
(541) 296-3741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
088007756N4
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090239
—
OR
01
—
500004404
MEDICARE RAILROAD
OR
05
—
9624206
—
WA
Enumeration date
07/18/2006
Last updated
06/05/2024
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