Active NPI
Jessica Dove Holsen, PHARMD, MBA
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Corvallis, OR
National Provider Identifier
1225892482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0019575
- Practice address
- 2300 NW Walnut Blvd
Corvallis, OR 97330-3538 - Phone
- (541) 768-6554
- Fax
- (541) 768-5210
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0019575 | OR | Primary |
Addresses
Primary practice location
2300 NW Walnut Blvd
Corvallis, OR 97330-3538
Mailing address
2300 NW Walnut Blvd Lowr Level
Corvallis, OR 97330-3538
Phone (541) 215-2411
Other practice location 1
441 NW Elks Dr Ste 100
Corvallis, OR 97330-3744
Phone (541) 768-6554
Other practice location 2
3620 NW Samaritan Dr Ste 202
Corvallis, OR 97330-3785
Phone (541) 768-6554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0019575-P | Other | OR | PRECEPTOR |
| RPH-0019575 | Other | OR | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0019575 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1225892482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 NW WALNUT BLVD LOWR LEVEL",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303538",
"telephone_number": "541-215-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 NW WALNUT BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303538",
"telephone_number": "541-768-6554",
"fax_number": "541-768-5210"
}
],
"practiceLocations": [
{
"address_1": "441 NW Elks Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303744",
"country_code": "US",
"telephone_number": "541-768-6554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3620 NW Samaritan Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303785",
"country_code": "US",
"telephone_number": "541-768-6554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLSEN",
"first_name": "JESSICA",
"middle_name": "DOVE",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-08",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0019575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRECEPTOR",
"identifier": "RPH-0019575-P",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RPH-0019575",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.