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NPI Code Detail

MEDICARE: ANNIE M HULME ANP

MEDICARE: ANNIE M HULME ANP
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
1363LA2200XAdult Health Nurse Practitioner201506291NPOR
2176B00000XMidwife078040200N5OR
3363L00000XNurse Practitioner078040200N5OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609811371
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE M HULME ANP
Provider Business Mailing Address
First Line : 5100 SW MACADAM AVE
Second Line : SUITE 200
City : PORTLAND
State : OR
Zip : 97239-6102
Country : US
Telephone Number : 597-120-2550
Fax Number : 971-202-5555
Provider Business Practice Location Address
First Line : 5100 SW MACADAM AVE
Second Line : SUITE 200
City : PORTLAND
State : OR
Zip : 97239-6102
Country : US
Telephone Number : 597-120-2550
Fax Number : 971-202-5555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/22/2016

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Directions to “ ANNIE M HULME ANP” Practice Location

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