Individual
NATHAN L HOLLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R EEG T
Contact information
Practice address
3270 LIBERTY RD S, SALEM, OR 97302-4560
(503) 269-2621
Mailing address
903 GARLOCK ST S, SALEM, OR 97302-6022
(503) 269-2621
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
175F00000X
Naturopath
—
—
246ZE0500X
EEG Specialist/Technologist
5811
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
5811
—
293D00000X
Physiological Laboratory
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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