Active NPI
Katherine A Holloway, LD
- Obstetrics Physician
- Portland, OR
National Provider Identifier
1780863761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 1003381
- Practice address
- 4037 NE 8TH Ave
Portland, OR 97212-1208 - Phone
- (503) 998-0252
- Fax
- (503) 239-4413
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 1003381 | OR | Primary |
Addresses
Primary practice location
4037 NE 8TH Ave
Portland, OR 97212-1208
Mailing address
4037 NE 8TH Ave
Portland, OR 97212
Phone (503) 998-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003381 | OR | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1780863761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 NE 8TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97212",
"telephone_number": "503-998-0252",
"fax_number": "503-239-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4037 NE 8TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121208",
"telephone_number": "503-998-0252",
"fax_number": "503-239-4413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "KATHERINE",
"middle_name": "A",
"credential": "LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "OR",
"license": "1003381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.