Basic Information
| Provider Information | |||||||||
| NPI: | 1659490092 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOIDA | ||||||||
| FirstName: | JANICE | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 464 MARTIN WAY S | ||||||||
| Address2: | |||||||||
| City: | MONMOUTH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973612500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038381133 | ||||||||
| FaxNumber: | 5038385138 | ||||||||
| Practice Location | |||||||||
| Address1: | 1430 MONMOUTH ST | ||||||||
| Address2: | |||||||||
| City: | INDEPENDENCE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973511127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038381133 | ||||||||
| FaxNumber: | 5038385138 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA00453 | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.