Provider Demographics
NPI:1346308699
Name:HOLLMANN, GEORGE ERNEST (ATC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ERNEST
Last Name:HOLLMANN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22300 SW BOONES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7373
Mailing Address - Country:US
Mailing Address - Phone:503-431-5665
Mailing Address - Fax:503-431-5642
Practice Address - Street 1:22300 SW BOONES FERRY RD
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7373
Practice Address - Country:US
Practice Address - Phone:503-431-5665
Practice Address - Fax:503-431-5642
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAT-AT-8258902255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer