Phoenix Horton-Holmes Blickle, R.N.

NPI #1932591286 in Tigard, Oregon

Provider Information

NPI Number: 1932591286
Entity Type: Individual
Name: Phoenix Horton-Holmes Blickle, R.N.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: R.N.
Enumeration Date: Feb 24, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 10362 SW MCDONALD
City: Tigard
State: Oregon
ZIP Code: 97224
Phone: (503) 624-0312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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