PATRICK S O'HOLLAREN (MD) – Pediatric Urology Physician, NPI 1891782868

PATRICK S O'HOLLAREN (MD) is a healthcare provider. based in Portland, Oregon. specializing in Pediatric Urology Physician. They hold the professional credentials MD. They hold a License No. MD18712 (OR). The NPI Number for PATRICK S O'HOLLAREN (MD) is 1891782868

Main info

Male
Name
PATRICK S O'HOLLAREN (MD)
NPI
1891782868
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
4 October 2005
Last Update Date
19 January 2021

Contacts

Secure Messaging
pohollaren291907@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for PATRICK S O'HOLLAREN (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256652

    Phone: (503) 216-6050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421001763IUrologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Reviews

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Frequently asked questions

How is PATRICK S O'HOLLAREN (MD) identified in CMS data?
CMS-hosted NPPES data lists PATRICK S O'HOLLAREN (MD) with NPI 1891782868.
Can I rely on PATRICK S O'HOLLAREN (MD) being an active provider?
As of the registry snapshot, PATRICK S O'HOLLAREN (MD) is marked active.
What healthcare role does PATRICK S O'HOLLAREN (MD) hold?
Scheduling teams often label PATRICK S O'HOLLAREN (MD) under Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
Where is PATRICK S O'HOLLAREN (MD) based?
PATRICK S O'HOLLAREN (MD) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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