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KENNETH DAVID HOLLADAY M.D.
NPI 1275628380
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since October 04, 2006
9830 NE CASCADES PKWY, SUITE 200, PORTLAND, OR 97220(503) 239-8101 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth David Holladay M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH DAVID HOLLADAY M.D. (NPI 1275628380) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Oregon (156792) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1275628380
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameKENNETH DAVID HOLLADAYCredential: M.D.
Location Address9830 NE CASCADES PKWY, SUITE 200Portland, OR 97220-6832
Mailing Address9830 Ne Cascades Pkwy, Suite 200Portland, OR 97220-6832 · (503) 239-8101
Phone(503) 239-8101
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 26, 2013
✔ NPI 1275628380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OR · 156792
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

9830 NE CASCADES PKWY, Portland, OR 97220
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Other Identifiers 7

Other421545189AK · Bc
Other20861000Aetna
Medicare UPINE03508AK
MedicaidMD24422AK
MedicaidMH9931AK
Other239264Compsych
Medicare ID-Type Unspecified152469Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHANNON MICHELLE MADSEN M.A.
Counselor (Mental Health)
9830 NE CASCADES PKWY, STE. 200
PORTLAND, OR 97220
Multnomah County (503) 400-0654
DIANE E PONDER LCSW
Social Worker (Clinical)
9830 NE CASCADES PKWY, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 239-8101
MR. ALEXANDER DIONYSIOS PLATANIAS
Social Worker
9830 NE CASCADES PKWY, STE 200
PORTLAND, OR 97220
Multnomah County (503) 939-0725
THEODORE LAYMAN LCSW
Social Worker (Clinical)
9830 NE CASCADES PKWY, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 408-5087
LINDSEY JOY GULYA
Counselor
9830 NE CASCADES PKWY, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 867-7446
MS. CAROL LYNN COLE
Counselor (Mental Health)
9830 NE CASCADES PKWY, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 408-4719
ODESSA DAWN ADAMS
Social Worker
9830 NE CASCADES PKWY, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 545-9959
SARAH ANNE GRISWOLD
Social Worker
9830 NE CASCADES PKWY, SUITE #200
PORTLAND, OR 97220
Multnomah County (503) 255-4205

Frequently Asked Questions

What is Kenneth Holladay's NPI number?

The NPI number assigned to this healthcare provider is 1275628380, enumerated as an "individual" on October 04, 2006.

Where is the provider located?

The provider is located at 9830 NE CASCADES PKWY SUITE 200 PORTLAND, OR 97220 and the phone number is (503) 239-8101.

What is the provider's specialty?

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

What insurance does Kenneth Holladay accept?

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.