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Individual

MRS. DONNA FAY HOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3181 SW SAM JACKSON PARK RD # OC14HO, PORTLAND, OR 97239-3098
(503) 494-4972
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
150017
OR
363A00000X
Physician Assistant

Other

Enumeration date
01/15/2009
Last updated
09/10/2024
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