Individual
MR. MILES PERCY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MS, ANP
Contact information
Practice address
9205 SW BARNES RD STE 861, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201250054NP
OR
Other
Enumeration date
02/07/2012
Last updated
06/20/2025
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