HOLLY JEAN CORNWELL RN
NPI 1508189317
Registered Nurse - Diabetes Educator in Portland, OR

Active since March 08, 2010
501 N GRAHAM ST, SUITE 375, PORTLAND, OR 97227(503) 413-1600(503) 413-1915 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Jean Cornwell Rn NPPES

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

HOLLY JEAN CORNWELL RN (NPI 1508189317) is an individual diabetes educator provider in Portland, Oregon, licensed in Oregon (200841070RN) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1508189317
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameHOLLY JEAN CORNWELLCredential: RN
Location Address501 N GRAHAM ST, SUITE 375Portland, OR 97227-1654
Mailing Address501 N Graham St, Suite 375Portland, OR 97227-1654 · (503) 413-1600 · Fax (503) 413-1915
Fax(503) 413-1915
Sole ProprietorNo
Enumeration DateMarch 8, 2010
Last NPPES UpdateAugust 13, 2014
NPI 1508189317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in OR · 200841070RN
501 N GRAHAM ST, Portland, OR 97227

Accepted 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.

Specialist
501 N GRAHAM ST, SUITE 525
PORTLAND, OR 97227
Specialist
501 N GRAHAM ST, SUITE 525
PORTLAND, OR 97227
Pediatrics (Pediatric Cardiology)
501 N GRAHAM ST, #220
PORTLAND, OR 97227
Pediatrics (Pediatric Cardiology)
501 N GRAHAM ST, #220
PORTLAND, OR 97227
Physician Assistant
501 N GRAHAM ST, SUITE 415
PORTLAND, OR 97227
Surgery (Vascular Surgery)
501 N GRAHAM ST, SUITE 415
PORTLAND, OR 97227
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508189317, enumerated as an "individual" on March 08, 2010.

The provider is located at 501 N GRAHAM ST SUITE 375 PORTLAND, OR 97227 and the phone number is (503) 413-1600.

Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.

The provider might be accepting Accepts: Moda Health Plan, Inc. and PacificSource Health. Please consult your insurance carrier or call the provider to verify.