Individual
ANGELA DAWN HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., QMHA
Contact information
Practice address
310 NW FLANDERS ST, PORTLAND, OR 97209-3941
(503) 827-3949
(503) 827-0931
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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