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NPI Code Detail

MEDICARE: DAISY HOLLICK

MEDICARE: DAISY HOLLICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerA15785OR

General Provider Information

NPI Number : 1568286300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY HOLLICK
Provider Business Mailing Address
First Line : 2618 SW 178TH AVE
Second Line :
City : BEAVERTON
State : OR
Zip : 97003-4461
Country : US
Telephone Number : 503-752-7339
Fax Number :
Provider Business Practice Location Address
First Line : 1915 NE STUCKI AVE STE 305
Second Line :
City : HILLSBORO
State : OR
Zip : 97006-8041
Country : US
Telephone Number : 541-975-3868
Fax Number : 503-676-3186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2024
Last Update Date : 02/07/2025

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