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Individual

MRS. SARA E HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12265 SW HALL BLVD, PORTLAND, OR 97223-6232
(503) 724-4474
Mailing address
7888 SW 87TH AVE, PORTLAND, OR 97223-7008
(503) 724-4474
(830) 255-5817

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP09400676N5
OR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP30006724
WA
367A00000X
Advanced Practice Midwife
AP09400676N5
OR

Other

Enumeration date
10/12/2005
Last updated
05/05/2022
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