MICHAEL HOLLENBACK

CLACKAMAS, OR
NPI1003923293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  pa00498)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: WA  pa10003619)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
-- MICHAEL HOLLENBACK P.A.-C.
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-653-6440
Mailing Address
-- MICHAEL HOLLENBACK P.A.-C.
11603 SE FLAVEL ST
PORTLAND, OR 97266-5980
Phone number: