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Kenneth David Holladay, MD
Child & Adolescent Psychiatry Physician in Portland, Oregon
NPI 1275628380

Kenneth David Holladay is a Child & Adolescent Psychiatry Physician based in Portland, OR and is specialized in Child & Adolescent Psychiatry. Kenneth David Holladay practices in Portland, OR and has the professional credentials of MD. The NPI Number for Kenneth David Holladay is 1275628380 and holds a License No. 156792 (Oregon).

The current practice location address for Kenneth David Holladay is 9830 Ne Cascades Pkwy, Portland, OR and can be reached out via phone at 503-239-8101.

Location: 9830 Ne Cascades Pkwy, Portland, OR, 97220-6832
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Provider Profile Details
NPI Number
1275628380
Provider Name
Kenneth David Holladay
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9830 Ne Cascades Pkwy, Portland, OR, 97220-6832
Phone Number
503-239-8101
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20861000 01 AETNA
MD24422 05 AK
MH9931 05 AK
421545189 01 AK BC
239264 01 COMPSYCH
institution
Provider Business Practice Location Address Details
Address
9830 Ne Cascades Pkwy
City
State
Zip
97220-6832
Phone Number
503-239-8101
Fax Number
person
Provider Business Mailing Address Details
Address
9830 Ne Cascades Pkwy
City
State
Zip
97220-6832
Phone Number
503-239-8101
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
156792 (Oregon)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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