Healthcare Provider Details

I. General information

NPI: 1265761381
Provider Name (Legal Business Name): HOLLY JEAN DAWSON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLY JEAN PATTON DO

II. Dates (important events)

Enumeration Date: 12/19/2009
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MCPHEE RD SW BLDG 1
OLYMPIA WA
98502-5080
US

IV. Provider business mailing address

PO BOX 5299 MS: 820-5-PCO
TACOMA WA
98415-0299
US

V. Phone/Fax

Practice location:
  • Phone: 360-705-1259
  • Fax: 360-705-2757
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number4942
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOP60930140
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: