Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON RILEY HOLLAND, MD
Active Sole ProprietorJACKSON RILEY HOLLAND, MD is a Otolaryngology healthcare provider located in CENTRALIA, Washington. NPI 1548356272 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · CENTRALIA, WA
Registration Details
- NPI Number
- 1548356272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.906238465003 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13619 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 COOKS HILL RDCENTRALIA, WA, 985319072Browse WA providers · Browse ZIP 98531
- Phone
- 3607360168
- Fax
- 3603308784
- Primary Specialty
-
Otolaryngology
207Y00000X
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.