NATHANIEL EATON HOLT


Address: 8935 Se Powell Blvd, Portland, OR 97266-1938
Phone: 5037724335

NATHANIEL EATON HOLT (NPI# 1851670954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851670954
Entity Type Individual
Full Name NATHANIEL EATON HOLT
Credential PMHNP
Practice Address 8935 Se Powell Blvd
Portland
OR 97266-1938
Mailing Address Po Box 190
Toppenish
WA 98948-0190
Practice Telephone 5037724335
Practice Fax Number 5037724337
Mailing Telephone 5098652395
Mailing Fax Number 5098650757
Enumeration Date 2011-08-08
Last Update Date 2015-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201150076NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR MEDICARE R181308 01
OR 168395 05
OR 500687152 05
WA 1851670954 05

Other Providers NATHANIEL HOLT

NPI Name Taxonomy Address Enumeration
1740775675 Nathaniel Alexander Holt Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2018-06-23

Office Location

Street Address 8935 SE POWELL BLVD
City PORTLAND
State OR
Zip Code 97266-1938

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679526107 Yakima Valley Farm Workers Clinic Clinic/Center 8935 Se Powell Blvd, Portland, OR 97266-1938 2006-05-18
1811549090 Carol Anne Simpson Dietitian, Registered 8935 Se Powell Blvd, Portland, OR 97266-1938 2019-07-09
1275027849 Karen Eliana Straehley Physician Assistant 8935 Se Powell Blvd, Portland, OR 97266-1938 2018-06-18
1235626441 Laboratory Corporation of America Clinical Medical Laboratory 8935 Se Powell Blvd, Portland, OR 97266-1938 2018-04-13
1114453396 Jemie Walrod Family Medicine 8935 Se Powell Blvd, Portland, OR 97266-1938 2017-05-05
1477090058 Katelyn Occhipinti Registered Nurse 8935 Se Powell Blvd, Portland, OR 97266-1938 2017-01-20
1255885810 Heather Tahler Psychologist 8935 Se Powell Blvd, Portland, OR 97266-1938 2016-08-11
1629521737 Cuong Thai Community Health Worker 8935 Se Powell Blvd, Portland, OR 97266-1938 2016-07-26
1427404243 Anthony Bellsmith Family Medicine 8935 Se Powell Blvd, Portland, OR 97266-1938 2016-05-11
1912316407 Elizabeth Briggs Psychologist 8935 Se Powell Blvd, Portland, OR 97266-1938 2014-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
1659777886 Berhanu Aynalem Mekbib Adult Companion 9125 Sw 55th, El Dorado, Portland, OR 97266 2014-11-17
1871930685 Felicitas Amelia Penaloza Behavioral Analyst 9911 Se Mt.scott Boulevard, Portland, OR 97266 2013-06-03
1710237326 Janna Renee Higgins Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, OR 97266 2012-09-12
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97266

Improve Information

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Dataset Information

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.

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