Brenda Holloway, LPN
Licensed Practical Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1669969259
StatusActive
Last updated in NPPESApr 18, 2018
Details
- NPI
- 1669969259
- Entity type
- Individual (NPI-1)
- Name
- Brenda Holloway
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2018
- Last updated
- Apr 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201030137LPN | OR | Yes |
Practice location
6601 Ne 78th Ct Ste A3Portland, OR 97218-2823
Phone 503-253-3949
Mailing address
6601 Ne 78th Ct Ste A3Portland, OR 97218-2823
Phone 503-252-3949
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All 207 Licensed Practical Nurse providers in Portland · All 48,847 providers in Portland
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