MS. HOLLY LYNN DODGE RN
NPI 1700283710
Registered Nurse - Community Health in Dallas, OR
Active since November 20, 2014
182 SW ACADEMY ST STE 302, DALLAS, OR 97338(603) 623-8175(503) 831-3499 Get Directions Write a Review
About Ms. Holly Lynn Dodge Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. HOLLY LYNN DODGE RN (NPI 1700283710) is an individual community health provider in Dallas, Oregon, licensed in Oregon (200941130RN) and active in the NPI registry since November 2014.
NPPES Registry Identity
NPI1700283710
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMS. HOLLY LYNN DODGECredential: RN
Location Address182 SW ACADEMY ST STE 302Dallas, OR 97338-1900
Mailing Address182 Sw Academy Street Suite 302Dallas, OR 97338
Phone(603) 623-8175
Fax(503) 831-3499
Sole ProprietorYes
Enumeration DateNovember 20, 2014
✔ NPI 1700283710 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in OR · 200941130RN
182 SW ACADEMY ST STE 302, Dallas, OR 97338
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Registered Nurse (Psychiatric/Mental Health)
182 SW ACADEMY ST STE 302
DALLAS, OR 97338
DALLAS, OR 97338
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700283710, enumerated as an "individual" on November 20, 2014.
The provider is located at 182 SW ACADEMY ST STE 302 DALLAS, OR 97338 and the phone number is (603) 623-8175.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.
