Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MD.60287809 | WA |
NPI | 1063654069 |
---|---|
Provider Name | Katherine Elizabeth Holland |
First Address | Portland, OR 97217-2940 |
Second Address | Vancouver, WA 98664-1989 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 26/02/2013 |