Healthcare Provider Details

I. General information

NPI: 1851514368
Provider Name (Legal Business Name): HOLDEN HOLDINGS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 OAK STREET
EUGENE OR
97401
US

IV. Provider business mailing address

1241 OAK STREET
EUGENE OR
97401
US

V. Phone/Fax

Practice location:
  • Phone: 541-686-9897
  • Fax: 541-485-3505
Mailing address:
  • Phone: 541-686-9897
  • Fax: 541-485-3505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License Number
License Number StateOR

VIII. Authorized Official

Name: MICHAEL TODD YOUNG
Title or Position: OWNER
Credential: LD
Phone: 541-686-9897