Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205659174 Individual Practitioner Female Practitioner

Angelique Victoria Holley

Physician Assistant • Salem, OR

Professional Overview & Biography Verified Profile Summary

Angelique Holley is a certified Physician Assistant practicing in Salem, OR. With approximately 1 years of clinical experience since completing medical education in 2025, Angelique Holley delivers high-quality medical care to the local community at 3896 BEVERLY AVE NE STE 40.

Angelique Holley does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3896 Beverly Ave Ne Ste 40

Salem, OR 973051374

Telephone 5035880076
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -8.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
128 Specialists

Practicing in Salem, OR (2106 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holley (1 Years) 1 Yrs
Salem Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA228517

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Mckenna Chandler , PA-S

Physician Assistant

NPI 1053934026

PAS

Dawn Lehman

Registered Nurse

NPI 1073882486
NPI 1316615545

Master of Public Health

Christine Wilson , PA-C

Physician Assistant

NPI 1336234277

Physician Assistant (Certified)

Dr. Kathy Shaw , MD

Family Medicine

NPI 1417273426

Doctor of Medicine (M.D.)

Amber Northcutt

Physician Assistant

NPI 1518526490

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 02, 2026

Registered at 3896 BEVERLY AVE NE STE 40, SALEM, OR 973051374 (Tel: 5035880076)

📍
Updated Business Mailing Address March 02, 2026

Registered at PO BOX 190, TOPPENISH, WA 989480190 (Tel: 5098652395)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2026

Physician Assistant (License #PA228517 in OR)

NPI Profile Active November 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2024

Registered at 414 N MERIDIAN ST, NEWBERG, OR 971322697 (Tel: 5035388383)

📍
Updated Business Mailing Address November 07, 2024

Registered at 414 N MERIDIAN ST, NEWBERG, OR 971322697 (Tel: 5035388383)

👤
Provider Name / Credentials Updated November 07, 2024

Recorded as ANGELIQUE HOLLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 07, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205659174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2024
Last Update: March 02, 2026
Sole Proprietor: No

Mailing Address

Po Box 190

Toppenish, WA 989480190

Phone: 5098652395

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.