Individual
JUDITH ROBIN HOLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5536 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6829
(503) 236-1830
(503) 236-1908
Mailing address
2800 SW 257TH AVE, TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-9908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19080
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080136513
RAILROAD MEDICARE
—
05
—
151059
—
OR
Enumeration date
08/18/2006
Last updated
07/21/2022
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