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Contact Information

MICHAEL HOLLENBACK, P.A.-C.
9800 SE SUNNYSIDE RD
CLACKAMAS, OR97015-9750
 Phone: 503-653-6440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL HOLLENBACK · (Male)

NPI # 1003923293
Status Active
Credentials P.A.-C.
Entity Individual
Enumeration date 08/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA00498
  • WA License # PA10003619
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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