Individual
EDWARD ERICSON HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 NE 92ND AVE, VANCOUVER, WA 98664-3225
(360) 514-2142
(360) 514-6820
Mailing address
PO BOX 1600, UNIT 282, VANCOUVER, WA 98668-1600
(360) 514-2142
(360) 514-6820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00610
OR
363A00000X
Physician Assistant
PA10004163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8357949
—
WA
Enumeration date
05/30/2006
Last updated
02/04/2021
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