Healthcare Provider Details

I. General information

NPI: 1548534621
Provider Name (Legal Business Name): HARMONY H HOLT WHCNP-BC, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW EASTRIGDGE ST CEDAR HILLS HOSPITAL
PORTLAND OR
97255-5004
US

IV. Provider business mailing address

925 NW HOYT ST APT. 507
PORTLAND OR
97209-3218
US

V. Phone/Fax

Practice location:
  • Phone: 503-944-5000
  • Fax:
Mailing address:
  • Phone: 619-508-0990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number40575
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number40575
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number40575
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number50156
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number50156
License Number StateOR
# 6
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number50156
License Number StateOR
# 7
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number50156
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: