Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 101022 | AK |
N | 207P00000X | Emergency Physician | 4915 | OK |
N | 207RH0002X | Hospice and Palliative Medicine | 101022 | AK |
NPI | 1114238847 |
---|---|
Provider Name | Dr. Gretchen Holst Jones |
First Address | Bend, OR 97708-6095 |
Second Address | Bend, OR 97701-6015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1631115 | (05) | AK |