Individual
DR. MARK R. HOLLEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2330 NW FLANDERS ST, SUITE 104, PORTLAND, OR 97210-3442
(503) 224-0817
(503) 224-0839
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 224-0817
(503) 224-0839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO18822
OR
Other
Enumeration date
08/19/2006
Last updated
02/11/2022
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