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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HOLLY BROCK, PA

Active Sole Proprietor

HOLLY BROCK, PA is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1023249810 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · VANCOUVER, WA

Registration Details

NPI Number
1023249810
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2009 (17.026292061708 yrs)
Last Updated
Apr 3, 2025
License
61433590 (WA)
Sole Proprietor
Yes

Practice Information

Address
1400 NE 136TH AVE STE 201
VANCOUVER, WA, 986840993
Browse WA providers · Browse ZIP 98684
Phone
3602581787
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in VANCOUVER, WA

Name Credential NPI
ALAN K MIRLY PA 1891780524
JAMES THOMAS STUPFEL PA-C 1437130143
JOHN RUSSELL PRENTICE PA-C 1497736110
LYNN EUGENE CATON PA-C 1477536225
LAURA E BRANDT PA-C 1013997899
ROBERT S BROOKSHIRE PA-C 1295708378
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.