TIMOTHY ELI HOLMSTROM MS PA-C ATC CSCS NPI 1346326204

NPI Information

NPI: 1346326204
Provider Name: TIMOTHY ELI HOLMSTROM, MS, PA-C, ATC, CSCS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
825 SE BISHOP BLVD STE 120
PULLMAN, WA
ZIP 99163
Phone: (509) 332-2828
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Timothy Eli Holmstrom, MS, PA-C, ATC, CSCS is a medical physician assistant in Pullman, WA. Timothy Eli Holmstrom, MS, PA-C, ATC, CSCS NPI is 1346326204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

825 SE BISHOP BLVD STE 120
PULLMAN, WA
ZIP 99163-517
Phone: (509) 332-2828
Fax: (509) 334-7474

The NPI 1346326204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 1/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	363AS0400X	Physician Assistant	Surgical	PA 60197224	WASHINGTON	No
3	363AM0700X	Physician Assistant	Medical	PA60197224	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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