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Individual

ROXANNE J HOLLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRM/QMHA-I

Contact information

Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-CRM-1991
OR
101YM0800X
Mental Health Counselor
23-QMHA-I-003671
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500818931
OR
Enumeration date
12/13/2022
Last updated
05/02/2025
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