IndividualActive
Dusty Holler
NPI 1841584240 · Attendant Care Provider · Corvallis, OR
Provider details
- NPI number
- 1841584240
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
557 Nw Monroe Ave
Corvallis, OR 97330-4721
Phone: (541) 766-3540
Approximate (ZIP-level) locationGet directions
Mailing address
32554 Bellinger Scale Rd
Lebanon, OR 97355-9412
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2012-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.