Holly J Altiero, PHD, PCA
Counselor, Mental Health in Portland, Oregon
1063375368- Practice location
- 14764 SE Wanda Dr, Portland, OR 97267-3112
- Phone
- 971-266-9445
- Fax
- —
- Last updated
- February 6, 2026
Holly J Altiero, PHD, PCA is a Counselor, Mental Health based in Portland, OR. Holly J Altiero, PHD, PCA holds the professional credentials of PHD, PCA. The NPI number for Holly J Altiero, PHD, PCA is 1063375368 and holds license No. R12344 (OR). The current practice location address is 14764 SE Wanda Dr, Portland, OR 97267-3112 and the office can be reached by phone at 971-266-9445. The NPI was assigned on December 4, 2025 and the record was last updated in NPPES on February 6, 2026.
●Provider Profile Details
- NPI Number
- 1063375368
- Provider Name
- Holly June Altiero
- Credential
- PHD, PCA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Enumeration Date
- December 4, 2025
- Last Update Date
- February 6, 2026
- Certification Date
- February 6, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 14764 SE Wanda Dr
Portland, OR 97267-3112 - City
- Portland
- State
- Oregon
- ZIP
- 97267-3112
- Country
- US
- Phone Number
- 971-266-9445
✉Business Mailing Address
- Address
- 272 NW Medical Loop Ste Roseburg
Roseburg, OR 97471-5597 - City
- Roseburg
- State
- OR
- ZIP
- 97471-5597
- Phone Number
- 541-900-4285
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | R12344 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. R12344 (OR).
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 at npiregistry.cms.hhs.gov.