Individual
JOHN MICHAEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, KPV4, PORTLAND, OR 97239-3011
(503) 494-8756
Mailing address
3625 NE MULTNOMAH ST, PORTLAND, OR 97232-1914
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD19074
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286814
—
OR
Enumeration date
08/03/2006
Last updated
09/30/2020
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