Individual
HOLLY CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NE GALLOWAY ST, MCMINNVILLE, OR 97128-3933
(503) 434-7523
Mailing address
725 NE 24TH ST, MCMINNVILLE, OR 97128-2105
(971) 901-2331
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R 161857-2
MN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201602402RN
OR
Other
Enumeration date
11/18/2015
Last updated
05/20/2021
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