Individual
TENIELLE RHAE HOLSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
870 S FRONT ST STE 200, CENTRAL POINT, OR 97502-2779
(541) 732-8000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(415) 732-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005749RX
OH
363A00000X
Physician Assistant
Primary
PA01324
OR
363A00000X
Physician Assistant
PA1307
ME
Other
Enumeration date
01/25/2008
Last updated
08/16/2023
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