Individual
AMY HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1456 PINE ST, SILVERTON, OR 97381-1496
(503) 873-6331
Mailing address
560 HAMPDEN LN NE, SALEM, OR 97317-3228
(503) 881-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
09700301RN
OR
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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