Kenneth 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.