# HOLISTIC VIRTUAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holistic Virtual Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407490170
- **Authorized official:** CHANDAN SHARMA (MANAGER)
- **Authorized official phone:** (971) 999-2182

## Contact information

- **Practice address:** 3439 SE HAWTHORNE BLVD \# 906, PORTLAND, OR 97214-5048
- **Practice address phone:** (971) 999-2182
- **Mailing address:** 539 W COMMERCE ST \# 901, DALLAS, TX 75208-1953
- **Mailing address phone:** (971) 999-2182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |
| 163WN1003X | Nutrition Support Registered Nurse | — | NULL | — |
| 163WN1003X | Nutrition Support Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 11/05/2019
- **Last updated:** 11/05/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 41644432 | DL | TX |