Individual provider · Type 1 NPI

Beth Louise Holloway, ARNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1205144102 Active

Practice location

847 NE 19th Ave Ste 100
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201050162NP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205144102

Beth Louise Holloway, ARNP's National Provider Identifier is 1205144102, issued on Sep 14, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Dec 4, 2017.