Provider Demographics
NPI:1093398489
Name:ARMSTRONG RIVERS, HOLLY M
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:ARMSTRONG RIVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:M
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:389 SW SCALEHOUSE CT STE 130
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3241
Mailing Address - Country:US
Mailing Address - Phone:541-306-4446
Mailing Address - Fax:541-512-7090
Practice Address - Street 1:125 SW C ST
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-1458
Practice Address - Country:US
Practice Address - Phone:541-306-4566
Practice Address - Fax:541-512-7090
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist