| NPI Details | |
|---|---|
| NPI | 1275976318 |
| Gender | Female |
| Enumeration Date | 04/08/2013 |
| Last Updated | 06/18/2014 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 6274 SW CAPITOL HWY PORTLAND OR, 97239-2674, US |
|
| Phone | (503) 245-6516 |
| Fax | (503) 245-5061 |
| Business Location | |
|---|---|
| 6274 SW CAPITOL HWY PORTLAND OR, 97239-2674, US |
|
| Phone | (503) 245-6516 |
| Fax | (503) 245-5061 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Oregon |
| License Number | 0630 |
| Remove 1275976318 NPI Number | |
According to our database, Bonnie Holland PT NPI is 1275976318, taxonomy code is 225100000X and license number is 0630, license state is located at Oregon. Bonnie Holland PT physically located at 6274 Sw Capitol Hwy, Portland OR, 97239-2674. NPI Number Bonnie Holland PT has the Individual type.
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1275976318 NPI number is provided on an as is basis without warranty of any kind. 1275976318 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Holland PT are for informational purposes only.
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