O'Hollaren, Mark Thomas

O'Hollaren, Mark Thomas is an individual health care provider with primary practice located at 511 Sw 10Th Ave Suite 1301, Portland OR 97205-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. O'Hollaren, Mark Thomas can be contacted via phone (503) 228-0155.

Contact Information

Primary practice address
511 Sw 10Th Ave Suite 1301 Portland OR 97205-2732
Phone: (503) 228-0155
Fax: (503) 226-8342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 13450 Oregon

Profile Details

NPI number 1588723787
LBN Legal business name O'Hollaren, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1588723787 NPPES
Oregon MEDICAID 167155

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