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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOKLEY VALENTINE HOLTER, PAC

Active Sole Proprietor

BROOKLEY VALENTINE HOLTER, PAC is a Surgical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1710968375 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PORTLAND, OR

Registration Details

NPI Number
1710968375
Provider Type
Individual
Gender
Female
NPI Issued
Nov 10, 2005 (20.569724601251 yrs)
Last Updated
Dec 14, 2017
License
PA00818 (OR)
Sole Proprietor
Yes

Practice Information

Address
3101 SW SAM JACKSON PARK RD
SHRINER'S HOSPITAL FOR CHILDREN
PORTLAND, OR, 97239
Browse OR providers · Browse ZIP 97239
Phone
5032213428
Fax
5032213490
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in PORTLAND, OR

Name Credential NPI
JENNIFER HOPE CHRISTIANSEN P.A. 1851394878
CAROLINE MAY-SAN FUNG P.A. 1558364489
MRS. PAULA DEANNE DIETSCH KUIPER PA-C 1508869157
CAROLYN ANNE FRANCIS PA-C 1790780401
CYNTHIA ANN BOHAN PAC 1992797039
KRISTINE JOST WINDOM PAC 1841282357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.