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NPI Code Detail

MEDICARE: PAUL E HOLMAN DC

MEDICARE:   PAUL E HOLMAN  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2992WA
2111N00000XChiropractor19485CA

General Provider Information

NPI Number : 1013040419
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL E HOLMAN DC
Provider Business Mailing Address
First Line : 2149 CASCADE AVE STE 208
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-1087
Country : US
Telephone Number : 509-493-2882
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W STEUBEN ST
Second Line :
City : BINGEN
State : WA
Zip : 98605
Country : US
Telephone Number : 509-493-2882
Fax Number : 509-493-2882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 11/04/2007

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Directions to “ PAUL E HOLMAN DC” Practice Location

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