Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberli Kevin Davenport-Holladay, MSCCCA

Individual provider Audiologist · NPI 1770567562

MS. Kimberli Kevin Davenport-Holladay, MSCCCA is an Audiologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
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Practice location Address checks out

2860 SE Holgate Blvd
Portland, OR 97202-3658
Phone: (503) 234-7843
Fax: (503) 235-6973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 22613 (OR)

Record details

NPI number1770567562
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCA
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESJuly 13, 2026

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