IndividualActive
Afton Hollister, QMHA -R
NPI 1003799636 · Specialist · Gresham, OR
Provider details
- NPI number
- 1003799636
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- QMHA -R
- Sex
- Female
- Sole proprietor
- No
- License
- 25-QMHA-R (OR)
Specialties & taxonomies
Other Service Providers
Practice location
4101 Ne Division St Ste 201
Gresham, OR 97030-4617
Phone: (503) 666-6575
Fax: (503) 491-3395
Approximate (ZIP-level) locationGet directions
Mailing address
4101 Ne Division St Ste 201
Gresham, OR 97030-4617
Registry dates
- Enumerated
- 2025-07-30
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.