Individual
ASHLEY HOLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 SE MAIN ST STE 30, PORTLAND, OR 97216-2461
(503) 255-3544
Mailing address
10000 SE MAIN ST STE 30, PORTLAND, OR 97216-2461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD167159
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2011
Last updated
02/02/2018
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