Individual
HOLLY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
1128 NE 2ND ST STE 201, CORVALLIS, OR 97330-6298
(541) 757-8100
Mailing address
2645 SE 3RD ST, CORVALLIS, OR 97333-1640
(503) 440-3060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10131081
OR
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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