Dusty Holler
Dusty Holler is an Attendant Care Provider in Corvallis, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
557 NW Monroe AveCorvallis, OR 97330-4721
Phone: (541) 766-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1841584240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 2, 2011 |
| Last updated in NPPES | January 13, 2012 |
| Mailing address | 32554 Bellinger Scale Rd, Lebanon, OR 97355-9412 |
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