Individual
LARAMIE HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1312 SW WASHINGTON ST., PORTLAND, OR 97205
(503) 535-1150
Mailing address
PO BOX 3007, PORTLAND, OR 97208
(503) 535-1150
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
201040747RN
OR
163WN0800X
Neuroscience Registered Nurse
RN00167792
WA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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