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Individual

MISS JENNIFER L HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
10373 NE HANCOCK ST STE 200, PORTLAND, OR 97220-3873
(503) 253-6754
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7866
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10021159
OR

Other

Enumeration date
07/20/2006
Last updated
09/07/2024
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