Provider Demographics
NPI:1669357786
Name:BILLE SEIDLITZ, MONIKA
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:BILLE SEIDLITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7133 N LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-3205
Mailing Address - Country:US
Mailing Address - Phone:971-263-1891
Mailing Address - Fax:503-328-7990
Practice Address - Street 1:7133 N LOMBARD ST STE 101
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-3205
Practice Address - Country:US
Practice Address - Phone:971-263-1891
Practice Address - Fax:503-328-7990
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201906163RN163WA2000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse