Hodges, Holly Jo L
Hodges, Holly Jo L is an sole proprietor health care provider with primary practice located at 2995 Ryan Drive, Se Suite #200, Salem OR 97301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hodges, Holly Jo L can be contacted via phone (503) 371-7701.Contact Information
Primary practice address
2995 Ryan Drive, Se Suite #200
Salem OR 97301
Phone: (503) 371-7701
Fax: (503) 371-8046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD19870 | Oregon |
Profile Details
| NPI number | 1518933902 |
|---|---|
| LBN Legal business name | Hodges, Holly Jo L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Oct 20th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518933902 | NPPES |
| Oregon | MEDICAID | 082201 |
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