Individual
SAMUEL MICHAEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
1584 NE 8TH ST STE 200, GRESHAM, OR 97030-5746
(971) 421-8696
Mailing address
1584 NE 8TH ST STE 200, GRESHAM, OR 97030-5746
(971) 421-8626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R9034
OR
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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