Kenneth David Holladay
M.D. | Psychiatry | Child & Adolescent
9830 Ne Cascades Pkwy, Suite 200, Portland
Oregon, 97220-6832
503-239-8101 Maps & DirectionsKenneth David Holladay is a Portland, Oregon based psychiatrist who is specialized in Child & Adolescent. Active license number of Kenneth David Holladay is 156792 for Child & Adolescent in Oregon. His current practice location is 9830 Ne Cascades Pkwy, Suite 200, Portland. Patients can reach him at 503-239-8101. Kenneth David Holladay is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1275628380.
Kenneth David Holladay has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Kenneth David Holladay speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kenneth David Holladay |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | M.D. |
| Practice Address: | 9830 Ne Cascades Pkwy, Suite 200, Portland,
Oregon, 97220-6832 |
| Phone: | 503-239-8101 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275628380 |
| NPI Enumeration Date: | 04 Oct, 2006 |
| NPI Last Update On: | 26 Feb, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth David Holladay are as mentioned below.
| License Number | Specialization | State | Status | |
| 156792 | Child & Adolescent | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth David Holladay such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 20861000 | Other | | AETNA |
| MD24422 | Medicaid | Alaska | |
| MH9931 | Medicaid | Alaska | |
| 421545189 | Other | Alaska | BC |
| 239264 | Other | | COMPSYCH |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth David Holladay
9830 Ne Cascades Pkwy, Suite 200
Portland, Oregon |
| Zip: | 97220-6832 |
| Phone Number: | 503-239-8101 |
Patients can reach Kenneth David Holladay at
9830 Ne Cascades Pkwy, Suite 200, Portland, Oregon or can
call to book an appointment on 503-239-8101.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.