Holt, Timothy Scott
Holt, Timothy Scott is an individual health care provider with primary practice located at 2120 Exchange St Ste 301 , Astoria OR 97103-3364. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Holt, Timothy Scott can be contacted via phone (503) 325-0241.Contact Information
Primary practice address
2120 Exchange St Ste 301
Astoria OR 97103-3364
Phone: (503) 325-0241
Fax: (503) 325-8483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 091007020N6 | Oregon |
Profile Details
| NPI number | 1467546697 |
|---|---|
| LBN Legal business name | Holt, Timothy Scott |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Feb 3rd, 2014 - about 12 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 | 1467546697 | NPPES |
| Oregon | MEDICAID | 084918 |
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