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
Fax: (503) 325-8483
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467546697 NPPES
Oregon MEDICAID 084918

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