MR. MILES PERCY HOLLAND (NPI# 1023380979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023380979 |
| Entity Type | Individual |
| Full Name | MR. MILES PERCY HOLLAND |
| Credential | RN, MS, ANP |
| Practice Address |
6640 Sw Redwood Ln Portland OR 97224-7187 |
| Practice Telephone | 5036207358 |
| Mailing Telephone | (503) 221-0161 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2017-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201250054NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750839361 | Miles Raymond Holland II | Counselor | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2016-09-13 |
| Street Address |
6640 SW REDWOOD LN |
| City | PORTLAND |
| State | OR |
| Zip Code | 97224-7187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311688 | Suvarna Reddy Palla | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2006-05-11 |
| 1154713188 | Stacy Marie Rudy | Physician Assistant | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2015-02-27 |
| 1538582903 | Haley Gail Trontel | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224 | 2014-01-21 |
| 1750656161 | Michael Ryan Shrifter | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2012-03-19 |
| 1780848499 | Ann Marie Paulsen | Internal Medicine | 6640 Sw Redwood Ln, Portland, Portland, OR 97224-7187 | 2008-07-11 |
| 1831362482 | Arete Nw LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-04-03 |
| 1740459478 | Arete Nw, LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-02-27 |
| 1366642746 | Brooke M Madden | Psychiatry & Neurology | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-07-23 |
| 1699977405 | Sheilla Treacy Ellsworth | Physical Therapist | 6640 Sw Redwood Ln, Suite 300, Portland, OR 97224-7187 | 2007-06-04 |
| 1972705986 | Arin Short | Physical Therapist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.