Individual
HOLLY A DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
853 WATSON ST N STE 200, ENUMCLAW, WA 98022-3948
(360) 367-2970
(360) 998-3241
Mailing address
853 WATSON ST N STE 200, ENUMCLAW, WA 98022-3948
(360) 367-2970
(360) 998-3241
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00040581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154155
L & I
WA
01
—
160056450
RAILROAD
WA
05
—
8286965
—
WA
01
—
8935272
CRIME VICTIMS
WA
Enumeration date
08/01/2006
Last updated
08/08/2023
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