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Brookley Valentine Holter, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1710968375

Brookley Valentine Holter is a Surgical Physician Assistant based in Philadelphia, OR and is specialized in Surgical. Brookley Valentine Holter practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Brookley Valentine Holter is 1710968375 and holds a License No. PA00818 (Oregon).

The current practice location address for Brookley Valentine Holter is 3101 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-221-3428 and via fax at 503-221-3490. You can also correspond with Brookley Valentine Holter through the mailing address at PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA - 19178-7642 (mailing address contact number: 813-281-8115).

Location: 3101 Sw Sam Jackson Park Rd, Portland, OR, 19178-7642
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Provider Profile Details
NPI Number
1710968375
Provider Name
Brookley Valentine Holter
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3101 Sw Sam Jackson Park Rd, Portland, OR, 19178-7642
Phone Number
503-221-3428
Fax Number
503-221-3490
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080727006 01 OR REGENCE BCBS
P00186774 01 RR MEDICARE
0192176 01 WA WA LABOR INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
3101 Sw Sam Jackson Park Rd
City
State
Zip
97239
Phone Number
503-221-3428
Fax Number
503-221-3490
person
Provider Business Mailing Address Details
Address
3101 Sw Sam Jackson Park Rd
City
State
Zip
97239
Phone Number
503-221-3428
Fax Number
503-221-3490
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00818 (Oregon)
Definition
Definition to come...
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