Individual provider · Type 1 NPI

Angelique Victoria Holley

Physician Assistant · Salem, OR

NPI number 1205659174 Active

Practice location

3896 Beverly Ave NE Ste 40
Salem, OR 97305-1374

Call (503) 588-0076 Map

Mailing address

PO Box 190
Toppenish, WA 98948-0190

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA228517 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205659174

Angelique Victoria Holley's National Provider Identifier is 1205659174, issued on Nov 7, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salem, OR. The record was last updated on Mar 2, 2026.