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NPI Code Detail

MEDICARE: MARION HOLDEN D.M.D.

MEDICARE:   MARION  HOLDEN  D.M.D.
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
11223G0001XGeneral Practice Dentistry11876OR
21223G0001XGeneral Practice Dentistry60734386WA

General Provider Information

NPI Number : 1982041356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARION HOLDEN D.M.D.
Provider Business Mailing Address
First Line : 4732 NW BETHANY BLVD STE G2
Second Line :
City : PORTLAND
State : OR
Zip : 97229-9410
Country : US
Telephone Number : 503-617-7384
Fax Number :
Provider Business Practice Location Address
First Line : 4732 NW BETHANY BLVD STE G2
Second Line :
City : PORTLAND
State : OR
Zip : 97229-9410
Country : US
Telephone Number : 503-617-7384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2013
Last Update Date : 12/15/2025

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Directions to “ MARION HOLDEN D.M.D.” Practice Location

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