# PORTLAND ANESTHESIA SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578877387
- **Authorized official:** DR. STEPHEN HOLTZCLAW MD (OWNER)
- **Authorized official phone:** (800) 543-8647

## Contact information

- **Practice address:** 1015 NW 22ND AVE, PORTLAND, OR 97210-3025
- **Practice address phone:** (503) 413-7711
- **Mailing address:** PO BOX 636856, CINCINNATI, OH 45263-0001
- **Mailing address phone:** (800) 543-8647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 08/04/2010