Individual
BONNIE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3028 SE 71ST AVE, PORTLAND, OR 97206-1804
(971) 220-5009
(971) 373-8055
Mailing address
3028 SE 71ST AVE, PORTLAND, OR 97206-1804
(971) 220-5009
(971) 373-8055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0630
OR
Other
Enumeration date
04/08/2013
Last updated
07/21/2022
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