Nathan L Hollenbeck, R EEG T
Specialist/Technologist, Other, Electroneurodiagnostic in Salem, OR. Individual provider (NPI-1).
NPI number1760052443
StatusActive
Last updated in NPPESJun 25, 2021
Details
- NPI
- 1760052443
- Entity type
- Individual (NPI-1)
- Name
- Nathan L Hollenbeck
- Credential
- R EEG T
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2021
- Certification date
- Jun 25, 2021
- Last updated
- Jun 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | 5811 | – | Yes |
| 133N00000X | Nutritionist | – | – | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 175F00000X | Naturopath | – | – | |
| 246ZE0500X | Specialist/Technologist, Other, EEG | 5811 | – | |
| 293D00000X | Physiological Laboratory | – | – | |
| 374K00000X | Religious Nonmedical Practitioner | – | – |
Practice location
3270 Liberty Rd SSalem, OR 97302-4560
Phone 503-269-2621
Mailing address
903 Garlock St SSalem, OR 97302-6022
Phone 503-269-2621
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