Jackson Riley Holland, MD is a
Otolaryngology physician based in Centralia, Washington. Jackson Riley Holland is licensed to practice in Washington (license number 13619) and his current practice location is 1800 Cooks Hill Rd, Centralia, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 736-0168.
NPI number for Jackson Riley Holland is 1548356272 and his current mailing address is Po Box 11009, Olympia, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548356272.
Physician's Profile
| Full Name | Jackson Riley Holland |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 1800 Cooks Hill Rd, Centralia, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548356272
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jackson Riley Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548356272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 13619 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson Riley Holland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jackson Riley Holland, MD
Po Box 11009,
Olympia, WA 98508-1009
Ph: (360) 352-2037 | Jackson Riley Holland, MD
1800 Cooks Hill Rd,
Centralia, WA 98531-9072
Ph: (360) 736-0168 |
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