Holland, John Michael
Holland, John Michael is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Kpv4, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Holland, John Michael can be contacted via phone (503) 494-8756.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Kpv4
Portland OR 97239-3011
Phone: (503) 494-8756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD19074 | Oregon |
Profile Details
| NPI number | 1104834662 |
|---|---|
| LBN Legal business name | Holland, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Sep 30th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104834662 | NPPES |
| Oregon | MEDICAID | 286814 |
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