Kenneth David Holladay in Portland - Child & Adolescent Psychiatry
Kenneth David Holladay - NPI 1275628380
Kenneth David Holladay is a Child & Adolescent Psychiatry in Portland, Oregon. Kenneth David Holladay practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Kenneth David Holladay is 1275628380. The last update date is 2013-02-26.
Kenneth David Holladay's current location address is 9830 Ne Cascades Pkwy, Portland, Oregon. You can contact this provider via phone number 5032398101. The mailing address for Kenneth David Holladay is 9830 Ne Cascades Pkwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth David Holladay |
|---|---|
| Address | 9830 Ne Cascades Pkwy, Portland, Oregon |
| Phone Number | 5032398101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275628380 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2013-02-26 |
Provider Mailing Address Detail
| Address | 9830 Ne Cascades Pkwy |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972206832 |
| Phone Number | 5032398101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 156792 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20861000 | AETNA | ||
| MD24422 | AK | -- | |
| MH9931 | AK | -- | |
| 421545189 | AK | BC | |
| 239264 | COMPSYCH |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth David Holladay by the Centers for Medicare & Medicaid Services?
The Kenneth David Holladay has been issued the NPI (National Provider Identifier) 1275628380. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth David Holladay is located?
The Kenneth David Holladay is situated at the following address: 9830 Ne Cascades Pkwy, Portland, OR, 972206832.
What is the Kenneth David Holladay's specialty and taxonomy code?
The Kenneth David Holladay's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
On what date did the Kenneth David Holladay receive its 1275628380 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth David Holladay was assigned its 1275628380 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information regarding Kenneth David Holladay, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth David Holladay, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-26.
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