Provider Demographics
NPI:1528579083
Name:HOLT, BETH ANN (ND)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:HOLT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:244 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2200
Mailing Address - Country:US
Mailing Address - Phone:541-687-8900
Mailing Address - Fax:541-683-5389
Practice Address - Street 1:244 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2200
Practice Address - Country:US
Practice Address - Phone:541-687-8900
Practice Address - Fax:541-683-5389
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171641175F00000X
OR5045175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath