Individual
TARA ASHLEY HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26 HAWTHORNE ST, MEDFORD, OR 97504-7114
(541) 215-4177
(303) 484-6316
Mailing address
26 HAWTHORNE ST, MEDFORD, OR 97504-7114
(541) 215-4177
(303) 484-6316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10009584
OR
363LF0000X
Family Nurse Practitioner
50884
WY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
50884
WY
Other
Enumeration date
09/19/2022
Last updated
05/21/2026
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