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Individual

SALLY JANE HOLTZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 N GRAHAM ST, #445, PORTLAND, OR 97227-1654
(503) 284-5220
(503) 249-2118
Mailing address
501 N GRAHAM, #445, PORTLAND, OR 97227
(503) 284-5220
(503) 249-2118

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD20770
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151029
OR
Enumeration date
10/05/2006
Last updated
10/28/2011
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