Holleran, Patrick William
Holleran, Patrick William is an individual health care provider with primary practice located at 7101 Ne 137Th Ave , Vancouver WA 98682-4933. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Holleran, Patrick William can be contacted via phone (360) 944-4880.Contact Information
Primary practice address
7101 Ne 137Th Ave
Vancouver WA 98682-4933
Phone: (360) 944-4880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00003397 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 04482 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1042819 | Oregon |
Profile Details
| NPI number | 1407831290 |
|---|---|
| LBN Legal business name | Holleran, Patrick William |
| Credentials | MS, OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Dec 29th, 2021 - about 5 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 | 1407831290 | NPPES |
| Oregon | MEDICAID | 278005 |
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