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BROOKLEY VALENTINE HOLTER PAC
NPI 1710968375
Physician Assistant - Surgical in Portland, OR

Active since November 10, 2005
3101 SW SAM JACKSON PARK RD, SHRINER'S HOSPITAL FOR CHILDREN, PORTLAND, OR 97239(503) 221-3428(503) 221-3490 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookley Valentine Holter Pac NPPES

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

BROOKLEY VALENTINE HOLTER PAC (NPI 1710968375) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA00818) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1710968375
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBROOKLEY VALENTINE HOLTERCredential: PAC
Location Address3101 SW SAM JACKSON PARK RD, SHRINER'S HOSPITAL FOR CHILDRENPortland, OR 97239
Mailing AddressPo Box 8500, Lockbox 7642, Shriner's Hospitals For Children PortlandPhiladelphia, PA 19178-7642 · (813) 281-8115 · Fax (813) 281-8656
Phone(503) 221-3428
Fax(503) 221-3490
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateDecember 14, 2017
✔ NPI 1710968375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA00818
3101 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Other Identifiers 3

OtherP00186774Rr Medicare
Other0192176WA · Wa Labor Industries
Other080727006OR · Regence Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. SUSAN COOPER LABHARD MSN, RN
Registered Nurse (Pediatrics)
3101 SW SAM JACKSON PARK RD, SHRINERS HOSPITAL FOR CHILDREN
PORTLAND, OR 97239
Multnomah County (503) 241-5090
SONIA BOUCHARD
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
MS. MARY KATHERINE BRESLIN RPT
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
ELHANNEN HERBERT HOSTLER III PT
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
APRIL TRENAMAN OTR/L
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
MRS. DENEE MARIE KROEGER MOTR/L
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
MRS. SHANNON JOANNE KELLY PT
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
LISA KAY MCINTYRE OTR/L
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookley Holter's NPI number?

The NPI number for Brookley Holter is 1710968375. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Brookley Holter located?

Brookley Holter practices at 3101 SW Sam Jackson Park Rd Shriner's Hospital For Children, Portland, OR 97239. The listed phone number is (503) 221-3428.

What is Brookley Holter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Brookley Holter accept?

Health plans from Providence Health Plan list Brookley Holter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brookley Holter was last updated on December 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.