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NPI Code Detail

MEDICARE: JANICE HOIDA PA-C

MEDICARE: JANICE HOIDA PA-C
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
1363AM0700XMedical Physician AssistantPA00453OR

General Provider Information

NPI Number : 1659490092
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE HOIDA PA-C
Provider Business Mailing Address
First Line : 464 MARTIN WAY S
Second Line :
City : MONMOUTH
State : OR
Zip : 97361-2500
Country : US
Telephone Number : 503-838-1133
Fax Number : 503-838-5138
Provider Business Practice Location Address
First Line : 1430 MONMOUTH ST
Second Line :
City : INDEPENDENCE
State : OR
Zip : 97351-1127
Country : US
Telephone Number : 503-838-1133
Fax Number : 503-838-5138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ JANICE HOIDA PA-C” Practice Location

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