O'Hollaren, Brian Timothy

O'Hollaren, Brian Timothy is an individual health care provider with primary practice located at 2090 Ne Wyatt Ct Suite 101, Bend OR 97701-7687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. O'Hollaren, Brian Timothy can be contacted via phone (541) 382-6447.

Contact Information

Primary practice address
2090 Ne Wyatt Ct Suite 101 Bend OR 97701-7687
Fax: (541) 330-7413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD15929 Oregon

Profile Details

NPI number 1629030523
LBN Legal business name O'Hollaren, Brian Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 9th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629030523 NPPES
Oregon MEDICAID 095547

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