Provider Demographics
NPI:1013036383
Name:HANDS ON MEDICINE
Entity Type:Organization
Organization Name:HANDS ON MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER FNP
Authorized Official - Prefix:
Authorized Official - First Name:SHELDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:503-281-0308
Mailing Address - Street 1:5311 N VANCOUVER AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-2731
Mailing Address - Country:US
Mailing Address - Phone:503-281-0308
Mailing Address - Fax:503-281-4691
Practice Address - Street 1:5311 N VANCOUVER AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-2731
Practice Address - Country:US
Practice Address - Phone:503-281-0308
Practice Address - Fax:503-281-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care