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

Individual provider Surgical Physician Assistant · NPI 1710968375

Brookley Valentine Holter, PAC is a Surgical Physician Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3101 SW Sam Jackson Park Rd Shriner's Hospital For Children
Portland, OR 97239
Phone: (503) 221-3428
Fax: (503) 221-3490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00818 (OR)

Record details

NPI number1710968375
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedNovember 10, 2005
Last updated in NPPESDecember 14, 2017

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