Individual
KEITH HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
308 SW 1ST AVE STE 155, PORTLAND, OR 97204-3432
(503) 808-1256
Mailing address
308 SW 1ST AVE STE 155, PORTLAND, OR 97204-3432
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102263
MI
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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