Individual
BRIAN HOLLANDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
507 NE 47TH AVE, PORTLAND, OR 97213-2236
(503) 215-6488
Mailing address
507 NE 47TH AVE, PORTLAND, OR 97213-2236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64339
OR
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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