Organization
HOLLADAY & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAVID HOLLADAY M.D. (MEDICAL DIRECTOR)
(503) 477-4969
Entity
Organization
Contact information
Practice address
1717 NE 42ND AVE, SUITE 2104, PORTLAND, OR 97213-1569
(503) 477-4969
Mailing address
1717 NE 42ND AVENUE, SUITE 2104, PORTLAND, OR 97213-1570
(503) 477-4969
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
156792
OR
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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