Individual
JOHN R HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3043 NE 28TH STREET, LINCOLN CITY, OR 97367-9540
(541) 996-7118
(541) 996-7378
Mailing address
3043 NE 28TH STREET, LINCOLN CITY, OR 97367-9540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1948
TN
207P00000X
Emergency Medicine Physician
200400681
NC
207P00000X
Emergency Medicine Physician
Primary
DO172963
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679675854
—
VA
05
—
891362Y
—
NC
Enumeration date
09/01/2006
Last updated
02/14/2023
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