Individual
HOLLY LEAH MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
Mailing address
1925 FAIRMOUNT AVE S, SALEM, OR 97302-5211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
OR 092006850N1
OR
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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