Katie Flickinger
Nurse Practitioner, Family in Siletz, OR. Individual provider (NPI-1).
NPI number1982142998
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1982142998
- Entity type
- Individual (NPI-1)
- Name
- Katie Flickinger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2017
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10037068 | OR | Yes |
| 207Q00000X | Family Medicine | 247118 | AZ | |
| 363LF0000X | Nurse Practitioner, Family | 247118 | AZ | |
| 163W00000X | Registered Nurse | 10037068 | OR | |
| 163W00000X | Registered Nurse | RN182485 | AZ |
Practice location
200 Gwee Shut RdSiletz, OR 97380-2036
Phone 541-444-1030
Mailing address
Po Box 320Siletz, OR 97380-0320
Phone 541-444-1030
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