Individual
CASSEY IMHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 SE 2ND AVE, HILLSBORO, OR 97123-4017
(971) 301-4411
Mailing address
1174 CORNUCOPIA ST NW STE 240, SALEM, OR 97304-3193
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114727
OR
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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