Individual
KATHLYN MARIE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 SE WASHINGTON ST, PORTLAND, OR 97216-3118
(503) 256-6511
Mailing address
11300 NE HALSEY ST, PORTLAND, OR 97220-2026
(503) 252-2900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CB60872217
WA
235Z00000X
Speech-Language Pathologist
Primary
17601
OR
Other
Enumeration date
08/08/2018
Last updated
05/22/2024
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