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Holley Ann Carlson-riddle
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1760195051

Holley Ann Carlson-riddle is a Student in an Organized Health Care Education/Training Program based in Lebanon, OR. Holley Ann Carlson-riddle practices in Lebanon, OR. The NPI Number for Holley Ann Carlson-riddle is 1760195051 and holds a License No. (Oregon).

The current practice location address for Holley Ann Carlson-riddle is 200 Mullins Dr, Lebanon, OR and can be reached out via phone at 541-259-0235.

Location: 200 Mullins Dr, Lebanon, OR, 97355-3983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760195051
Provider Name
Holley Ann Carlson-riddle
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Mullins Dr, Lebanon, OR, 97355-3983
Phone Number
541-259-0235
Fax Number
Provider Enumeration Date
01/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
541-259-0235
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
541-259-0235
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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