Individual
PATRICK S O'HOLLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 SW BARNES RD STE 395, PORTLAND, OR 97225-6652
(503) 216-6050
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
MD18712
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003395010
BLUE CROSS
—
05
—
0034023
—
ID
01
—
0565A
HEALTHNET
—
05
—
64795
—
OR
01
—
8156036
COLUMBIA UNITED PF
—
05
—
8156036
—
WA
01
—
930766376
CAREOREGON
—
01
—
A016
TRICARE
—
01
—
F81042
PROVIDENCE HEALTH
—
05
—
MD8720R
—
AK
Enumeration date
10/04/2005
Last updated
01/19/2021
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