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Individual

MONICA HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
094006399RN
OR
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
201908654NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
201908654NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8029550
DRIVERS LISCENSE
OR
Enumeration date
02/22/2018
Last updated
11/13/2019
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