Michael Hollenback, P.A.-C.

Surgical Physician Assistant · Clackamas, OR

Individual Active NPI

NPI number 1003923293

Practice location

9800 SE Sunnyside Rd
Clackamas, OR 97015-9750
Phone
(503) 653-6440

Open in Google Maps

NPI record

NPI
1003923293
Entity type
Individual (Type 1)
Enumeration date
August 24, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X PA00498 OR
Surgical Physician Assistant 363AS0400X PA10003619 WA

Mailing address

11603 SE Flavel St
Portland, OR 97266-5980

About Michael Hollenback

Michael Hollenback, P.A.-C. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 9800 SE Sunnyside Rd, Clackamas, OR 97015-9750. The NPI number 1003923293 was assigned on August 24, 2006 and the record was last updated on July 8, 2007.

Michael Hollenback lists 2 licenses in the registry: #PA00498 (OR) for Surgical Physician Assistant; #PA10003619 (WA) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Hollenback, P.A.-C.?

The NPI number is 1003923293.

What is the phone number of Michael Hollenback?

The phone number listed for the practice location is (503) 653-6440.

Where is Michael Hollenback located?

9800 SE Sunnyside Rd, Clackamas, OR 97015-9750.

What is the taxonomy code for Michael Hollenback?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Surgical Physician Assistant providers in Clackamas

All Surgical Physician Assistant providers in Clackamas, OR →