IndividualActive
Angelique Holley
NPI 1205659174 · Physician Assistant · Salem, OR
Angelique Holley is a Physician Assistant provider in Salem, OR (NPI 1205659174).
Provider details
- NPI number
- 1205659174
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA228517 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3896 Beverly Ave Ne Ste 40
Salem, OR 97305-1374
Phone: (503) 588-0076
Street-level locationGet directions
Mailing address
Po Box 190
Toppenish, WA 98948-0190
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Angelique Holley's NPI number?
- Angelique Holley's National Provider Identifier (NPI) is 1205659174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angelique Holley's specialty?
- Angelique Holley is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Angelique Holley located?
- Angelique Holley's practice location on file with NPPES is 3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374.
- What is Angelique Holley's phone number?
- The practice phone number listed in the NPPES registry for Angelique Holley is (503) 588-0076.
- Is Angelique Holley's NPI active?
- Yes — Angelique Holley's NPI (1205659174) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.