Individual
DR. ROBERT LESLIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-7595
(503) 325-4905
Mailing address
550 22ND STREET, ASTORIA, OR 97103
(503) 338-7595
(503) 325-4905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD000025542
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD23855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286588
—
OR
Enumeration date
08/29/2006
Last updated
05/23/2012
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