Organization
PORTLAND ANESTHESIA SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HOLTZCLAW MD (OWNER)
(800) 543-8647
Entity
Organization
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
PO BOX 636856, CINCINNATI, OH 45263-0001
(800) 543-8647
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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