Provider Demographics
NPI:1861658791
Name:STRAHM, HOLLIE ANNE (RN)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:ANNE
Last Name:STRAHM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1252
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415-0115
Mailing Address - Country:US
Mailing Address - Phone:541-469-9725
Mailing Address - Fax:
Practice Address - Street 1:603 HEMLOCK ST.
Practice Address - Street 2:STE. 2E
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-0115
Practice Address - Country:US
Practice Address - Phone:541-469-9725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR095000625RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health