| Holladay & Associates, Pc | |
|
1717 Ne 42nd Ave Suite 2104 Portland OR 97213-1569 | |
| (503) 477-4969 | |
| Not Available |
| Full Name | Holladay & Associates, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1717 Ne 42nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Kenneth David Holladay (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5034774969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holladay & Associates, Pc 1717 Ne 42nd Avenue Suite 2104 Portland OR 97213-1570 Ph: (503) 477-4969 | Holladay & Associates, Pc 1717 Ne 42nd Ave Suite 2104 Portland OR 97213-1569 Ph: (503) 477-4969 |
| NPI Number | 1730564139 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730564139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 156792 (Oregon) | Primary |
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Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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