Ann Marie Holland, N.D., MSOM, L. AC.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1366 Issued in OR

Practice address

1990 SE Ladd Ave
Portland, OR 97214-4757

Phone

(503) 820-8040

Fax

(888) 972-3725

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1760540710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 SE CENTER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063292",
            "telephone_number": "503-504-2705",
            "fax_number": "888-972-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SE LADD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144757",
            "telephone_number": "503-820-8040",
            "fax_number": "888-972-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "N.D., MSOM, L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00835",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277787",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holladay & Associates, PC
• Holladay Park Plaza, Inc
• Kenneth David Holladay, M.D.
• Alisha Holland
• Angela Dawn Holland, B.S., QMHA
• Bonnie Holland, PT
• Daniel Ray Holland, MD
• Devora Moon Holland, LCSW
• Haley Anne Holland
• Jeffrey Clay Holland

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.