Provider Demographics
NPI:1548534621
Name:HOLT, HARMONY H (WHCNP-BC, MSN, RN)
Entity type:Individual
Prefix:PROF
First Name:HARMONY
Middle Name:H
Last Name:HOLT
Suffix:
Gender:F
Credentials:WHCNP-BC, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 NW HOYT ST
Mailing Address - Street 2:APT. 507
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-3218
Mailing Address - Country:US
Mailing Address - Phone:619-508-0990
Mailing Address - Fax:
Practice Address - Street 1:10300 SW EASTRIGDGE ST
Practice Address - Street 2:CEDAR HILLS HOSPITAL
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97255-5004
Practice Address - Country:US
Practice Address - Phone:503-944-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR40575163WP0000X, 163WS0121X, 163WW0101X
OR50156363LA2200X, 363LF0000X, 363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
N/AOtherI DO NOT HAVE ANY OF THESE YET