Individual
MRS. AFTON MEGAN HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA -R
Contact information
Practice address
4101 NE DIVISION ST STE 201, GRESHAM, OR 97030-4617
(503) 666-6575
(503) 491-3395
Mailing address
4101 NE DIVISION ST STE 201, GRESHAM, OR 97030-4617
(503) 666-6575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25-QMHA-R
OR
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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