| Brookley Valentine Holter, PAC | |
|
3101 Sw Sam Jackson Park Rd, Shriner's Hospital For Children, Portland, OR 97239 | |
| (503) 221-3428 | |
| (503) 221-3490 |
| Full Name | Brookley Valentine Holter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 3101 Sw Sam Jackson Park Rd, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710968375 | NPI | - | NPPES |
| 080727006 | Other | OR | REGENCE BCBS |
| P00186774 | Other | RR MEDICARE | |
| 0192176 | Other | WA | WA LABOR INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA00818 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brookley Valentine Holter, PAC Po Box 8500, Lockbox 7642, Shriner's Hospitals For Children Portland, Philadelphia, PA 19178-7642 Ph: (813) 281-8115 | Brookley Valentine Holter, PAC 3101 Sw Sam Jackson Park Rd, Shriner's Hospital For Children, Portland, OR 97239 Ph: (503) 221-3428 |
James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708 | |
David Pritchett, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067 | |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000 | |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 | |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670 |