Provider Demographics
NPI:1609107622
Name:OLIVER, HOLLY ANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:ANNE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N TOWER AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-8982
Mailing Address - Country:US
Mailing Address - Phone:971-645-5550
Mailing Address - Fax:360-208-0246
Practice Address - Street 1:219 N TOWER AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-8982
Practice Address - Country:US
Practice Address - Phone:971-645-5550
Practice Address - Fax:360-208-0246
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60385958175F00000X
OR1713175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath