Provider Demographics
NPI:1851591762
Name:HOLUB, ONDRIA LOUISE (BS, MACOM, LAC)
Entity Type:Individual
Prefix:MS
First Name:ONDRIA
Middle Name:LOUISE
Last Name:HOLUB
Suffix:
Gender:F
Credentials:BS, MACOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 NW GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-4366
Mailing Address - Country:US
Mailing Address - Phone:541-714-3200
Mailing Address - Fax:541-638-3275
Practice Address - Street 1:2005 NW GRANT AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4366
Practice Address - Country:US
Practice Address - Phone:541-714-3200
Practice Address - Fax:541-638-3275
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01108171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist