PATRICK S O'HOLLAREN (NPI# 1891782868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891782868 |
| Entity Type | Individual |
| Full Name | PATRICK S O'HOLLAREN |
| Credential | MD |
| Practice Address |
9427 Sw Barnes Rd Ste 395 Portland OR 97225-6652 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032166050 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
MD18712 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0034023 | 05 | |
| COLUMBIA UNITED PF | 8156036 | 01 | |
| TRICARE | A016 | 01 | |
| AK | MD8720R | 05 | |
| BLUE CROSS | 003395010 | 01 | |
| HEALTHNET | 0565A | 01 | |
| CAREOREGON | 930766376 | 01 | |
| PROVIDENCE HEALTH | F81042 | 01 | |
| WA | 8156036 | 05 | |
| OR | 64795 | 05 |
| Street Address |
9427 SW BARNES RD STE 395 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093139925 | Tyson Dee Payne Payne | Psychologist | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2014-02-12 |
| 1851633077 | Joshua J Kim | Psychiatry & Neurology | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2013-03-26 |
| 1588831713 | Amy Chu Tsai | Pediatrics | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2008-05-16 |
| 1639128499 | Jeannie Yang Chun | Surgery | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942439005 | Casey Allison Seideman | Urology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-07-10 |
| 1457540486 | Mainehealth | Urology | 22 Bramhall St, Portland, ME 04102 | 2007-10-16 |
| 1962603175 | Daniel Aaron Hirselj | Urology | 2230 Nw Pettygrove St, Suite #210, Portland, OR 97210-2659 | 2007-05-29 |
| 1316972300 | David B Lashley | Urology | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686418 | Richard William Steinberg | Urology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-9764 | 2006-10-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.