Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Passport Health Holdings, LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1245871110

Passport Health Holdings, LLC is a Public Health & General Preventive Medicine Physician in Portland, Maine. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22 Monument Sq Ste 507
Portland, ME 04101-4031
Phone: (877) 358-8648
Fax: (877) 877-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X

Record details

NPI number1245871110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dough Shackell — Director Of Finance · (480) 646-9024
Other names Passport Health
NPI enumeratedOctober 2, 2019
Last updated in NPPESOctober 2, 2019
Mailing address8324 E Hartford Drive, Suite 200, Scottsdale, AZ 85255-7801

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