Individual
REX MONROE HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019-02353
NC
2085R0202X
Diagnostic Radiology Physician
65768
TN
2085R0202X
Diagnostic Radiology Physician
Primary
MD192271
OR
2085R0202X
Diagnostic Radiology Physician
ME125777
FL
Other
Enumeration date
04/29/2014
Last updated
12/02/2024
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