Hanneke Jamieson Holderbach, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0730113076 Issued in VT

Practice address

5701 SW Multnomah Blvd
Portland, OR 97219-3195

Phone

(503) 244-1107

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Hanneke Janet Jamieson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1144399015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193195",
            "telephone_number": "503-244-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDERBACH",
        "first_name": "HANNEKE",
        "middle_name": "JAMIESON",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VT",
            "license": "0730113076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNEKE",
            "last_name": "JAMIESON",
            "middle_name": "JANET",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Holden, WHCNP
• William Edward Holden, MD
• Catherine Denise Scott Holder
• Kerstin Holder, L.E.
• Tammy Holder, LMT
• Claudia Miriam Holderegger McCormack, DC
• Holding Space Massage
• Eloise Holdship
• Judith Robin Holeva, D.O.
• Marquea Danielle Holford

• Occupational Therapy Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.