MR. TERRY DEAN HOLLOWELL (NPI# 1063888329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063888329 |
Entity Type | Individual |
Full Name | MR. TERRY DEAN HOLLOWELL |
Credential | FNP |
Practice Address |
2042 Ne Williamson Ct Bend OR 97701-3760 |
Mailing Address |
Po Box 5579 Bend OR 97708-5579 |
Practice Telephone | 5417066905 |
Practice Fax Number | 5417066906 |
Mailing Telephone | 5417066905 |
Mailing Fax Number | 4517066906 |
Enumeration Date | 2015-08-20 |
Last Update Date | 2016-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201604024NPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95002586 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2042 NE WILLIAMSON CT |
City | BEND |
State | OR |
Zip Code | 97701-3760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033111521 | Stephanie R Scott | Physician Assistant | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2005-08-15 |
1659923225 | Merrie Katelyn Nelson | Nurse Practitioner | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2019-07-12 |
1376075887 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2017-04-03 |
1730547688 | Christopher Guiley | Registered Nurse | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2016-02-07 |
1265806053 | Noelle Dominique Vacchio-caulley | Physician Assistant | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2015-11-17 |
1255618955 | Natalia Usatii | Internal Medicine | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-11-08 |
1891099933 | St. Charles Health System, Inc. | Psychiatry & Neurology | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-01-04 |
1164675963 | Cascade Healthcare Community Inc | Clinic/Center | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2008-10-24 |
1568630135 | Matthew S Cook | Physician Assistant | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2008-02-15 |
1023117751 | St. Charles Health System, Inc. | Durable Medical Equipment & Medical Supplies | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
Find all providers in zip 97701 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376863613 | Susan Hart | Nurse Practitioner | 62168 Ob Riley Rd E2-16, Bend, OR 97701 | 2010-06-09 |
1558689836 | Amy Kreutzer Erber | Nurse Practitioner | 151 Sw Shevlin Hixon Dr Ste 2, Bend, OR 97702-3209 | 2010-05-11 |
1962674887 | Tricia Lynne Couture | Nurse Practitioner | 19790 Dry Canyon Ave, Bend, OR 97702-3034 | 2008-04-01 |
1043405699 | Roxanne Marie Hanington | Nurse Practitioner | 285 Nw Scenic Heights Dr, Bend, OR 97701-7548 | 2007-09-06 |
1952311003 | Karyn Anderson | Nurse Practitioner | 726 Nw Wall Street, Bend, OR 97701 | 2006-08-09 |
1053336990 | Lee Anne Hellesto | Nurse Practitioner | 888 Nw Hill St Ste 3, Bend, OR 97703-2942 | 2006-07-13 |
1932175718 | Karen Lynn Harding | Nurse Practitioner | 2577 Ne Courtney Dr, Suite 300, Bend, OR 97701 | 2006-02-23 |
1841277480 | Michelle A Wright | Nurse Practitioner | 61250 Se Coombs Pl, Bend, OR 97702-3704 | 2005-12-25 |
1043294911 | Helen Wylie Poindexter | Nurse Practitioner | 18 Nw Oregon Ave, Bend, OR 97701-2729 | 2005-12-02 |
1003890351 | Thomas Eugene Coehlo | Nurse Practitioner | 2190 Ne Professional Ct, Suite 250, Bend, OR 97701-6985 | 2005-11-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.