Individual
SHELLI F HOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5071
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090000369RN
OR
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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