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NPI Code Detail

MEDICARE: PROF. HARMONY H HOLT WHCNP-BC, MSN, RN

MEDICARE: PROF. HARMONY H HOLT WHCNP-BC, MSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0000XPain Management Registered Nurse40575OR
2163WS0121XPlastic Surgery Registered Nurse40575OR
3163WW0101XAmbulatory Women's Health Care Registered Nurse40575OR
4363LA2200XAdult Health Nurse Practitioner50156OR
5363LF0000XFamily Nurse Practitioner50156OR
6363LW0102XWomen's Health Nurse Practitioner50156OR
7363LX0001XObstetrics & Gynecology Nurse Practitioner50156OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N/AOTHERI DO NOT HAVE ANY OF THESE YET

General Provider Information

NPI Number : 1548534621
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. HARMONY H HOLT WHCNP-BC, MSN, RN
Provider Business Mailing Address
First Line : 925 NW HOYT ST
Second Line : APT. 507
City : PORTLAND
State : OR
Zip : 97209-3218
Country : US
Telephone Number : 619-508-0990
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SW EASTRIGDGE ST
Second Line : CEDAR HILLS HOSPITAL
City : PORTLAND
State : OR
Zip : 97255-5004
Country : US
Telephone Number : 503-944-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2012
Last Update Date : 03/07/2012

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