Individual
DR. JOANNE MARIE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
117 THIRD STREET, DRAIN, OR 97435
(541) 836-2371
(541) 836-2374
Mailing address
740 HIDDEN SPRING LN, DRAIN, OR 97435-9754
(541) 836-2371
(541) 836-2374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20989
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269574
—
OR
01
—
D2223-01
PACIFICSOURCE
OR
Enumeration date
10/16/2006
Last updated
08/17/2012
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