Individual
DR. MARK THOMAS O'HOLLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE 1301, PORTLAND, OR 97205-2732
(503) 228-0155
(503) 226-8342
Mailing address
511 SW 10TH AVE, SUITE 1301, PORTLAND, OR 97205-2732
(503) 228-0155
(503) 226-8342
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
13450
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167155
—
OR
Enumeration date
12/06/2006
Last updated
07/08/2007
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