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Dusty Holler
Attendant Care Provider in Corvallis, Oregon
NPI 1841584240

Dusty Holler is an Attendant Care Provider based in Lebanon, OR and is specialized in Attendant Care Provider. Dusty Holler practices in Corvallis, OR. The NPI Number for Dusty Holler is 1841584240 and holds a License No. (Oregon).

The current practice location address for Dusty Holler is 557 Nw Monroe Ave, Corvallis, OR and can be reached out via phone at 541-766-3540.

Location: 557 Nw Monroe Ave, Corvallis, OR, 97355-9412
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Provider Profile Details
NPI Number
1841584240
Provider Name
Dusty Holler
Credential
Provider Entity Type
Individual
Gender
Male
Address
557 Nw Monroe Ave, Corvallis, OR, 97355-9412
Phone Number
541-766-3540
Fax Number
Provider Enumeration Date
06/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
557 Nw Monroe Ave
City
State
Zip
97330-4721
Phone Number
541-766-3540
Fax Number
person
Provider Business Mailing Address Details
Address
557 Nw Monroe Ave
City
State
Zip
97330-4721
Phone Number
541-766-3540
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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