| Doctor Name: | MS. BETH LOUISE HOLLOWAY |
| NPI Number: | 1205144102 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 201050162NP |
| Business Practice Address: | 890 82nd Dr Gladstone, OR - 970271803 |
| Business Phone Number: | 5036595515 |
| Business Fax Number: | 5032122292 |
| Mailing Address: | 890 82nd Dr, GLADSTONE |
| State: | OR |
| Postal Code: | 970271803 |
| Phone Number: | 5036595515 |
| Fax Number: | 5032122292 |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 04/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 201050162NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |