Active NPIIndividual providerSole proprietor

Holly J Altiero, PHD, PCA

Counselor, Mental Health in Portland, Oregon

NPI Number1063375368
Practice location
14764 SE Wanda Dr, Portland, OR 97267-3112
Fax
—
Last updated
February 6, 2026

Holly June Altiero is a Counselor, Mental Health based in Portland, OR. Holly June Altiero practices in Portland, OR and has the professional credentials of PHD, PCA. The NPI Number for Holly June Altiero is 1063375368 and holds a License No. R12344 (OR). The current practice location address for Holly June Altiero is 14764 SE Wanda Dr, Portland, OR 97267-3112 and can be reached out via phone at 971-266-9445.

Provider Profile Details

NPI Number
1063375368
Provider Name
Holly June Altiero
Credential
PHD, PCA
Provider Entity Type
Individual
Gender
Female
Address
14764 SE Wanda Dr, Portland, OR 97267-3112
Phone Number
971-266-9445
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2025
Last Update Date
February 6, 2026
Certification Date
February 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
14764 SE Wanda Dr
Portland, OR 97267-3112
State
Oregon
Zip
97267-3112
Phone Number
971-266-9445
Portland, OR 97267Get directions →

Provider Business Mailing Address Details

Address
272 NW Medical Loop Ste Roseburg
Roseburg, OR 97471-5597
City
Roseburg
State
OR
Zip
97471-5597
Phone Number
541-900-4285

License Information

License Number
R12344
License State
OR
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Holly J Altiero, PHD, PCA?

The NPI number of Holly J Altiero, PHD, PCA is 1063375368. It was assigned on December 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Holly J Altiero, PHD, PCA?

Holly J Altiero, PHD, PCA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number R12344.

Where does Holly J Altiero, PHD, PCA practice?

The practice location is 14764 SE Wanda Dr, Portland, OR 97267-3112. The office can be reached at 971-266-9445 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063375368 directly on the NPPES registry website.

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