Individual
HOLLIE ROSE PALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 4TH AVE SE, ALBANY, OR 97321-2815
(541) 758-5900
Mailing address
229 4TH AVE SE, ALBANY, OR 97321-2815
(541) 758-5900
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
930386966
OR
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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