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DUSTY HOLLER
NPI 1841584240
Technician - Attendant Care Provider in Corvallis, OR

Active since June 02, 2011
557 NW MONROE AVE, CORVALLIS, OR 97330(541) 766-3540 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dusty Holler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTY HOLLER (NPI 1841584240) is an individual attendant care provider provider in Corvallis, Oregon and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1841584240
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameDUSTY HOLLER
Location Address557 NW MONROE AVECorvallis, OR 97330-4721
Mailing Address32554 Bellinger Scale RdLebanon, OR 97355-9412
Phone(541) 766-3540
Sole ProprietorYes
Enumeration DateJune 2, 2011
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1841584240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
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.
557 NW MONROE AVE, Corvallis, OR 97330
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL LONGPRE JONES
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-6383
MELISSA LYNN LAWSON MA CADC III
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-2109
ERIC C ANDERSON
Technician (Attendant Care Provider)
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-6835
MS. DANIELLE PROMISE ELLIS AS, CADC I
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-3540
RUTHYN M GEER B.S., CADC II
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-3540
KENNETH M BAKONDI
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-6147
MARCUS J BENTON B.ED, CADC I
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-3548
BENTON COUNTY
Counselor (Addiction (Substance Use Disorder))
557 NW MONROE AVE
CORVALLIS, OR 97330
Benton County (541) 766-3540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dusty Holler's NPI number?

The NPI number for Dusty Holler is 1841584240. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Dusty Holler located?

Dusty Holler practices at 557 NW Monroe Ave, Corvallis, OR 97330. The listed phone number is (541) 766-3540.

What is Dusty Holler's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Dusty Holler was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.