Individual
KATIE FLICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-1030
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 444-1030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10037068
OR
163W00000X
Registered Nurse
RN182485
AZ
207Q00000X
Family Medicine Physician
247118
AZ
363LF0000X
Family Nurse Practitioner
Primary
10037068
OR
363LF0000X
Family Nurse Practitioner
247118
AZ
Other
Enumeration date
02/09/2017
Last updated
04/23/2025
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