Individual
JEREMY P HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 963-2707
(503) 963-2802
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD27327
OR
207RG0100X
Gastroenterology Physician
MD60300293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247602
—
OR
05
—
8485047
—
OR
Enumeration date
02/27/2006
Last updated
11/04/2024
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