MEDICARE: HOLLY ANDERSON P.A.

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
1	363A00000X	Physician Assistant	PA60043081	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MH9041043467	OTHER	MN	PPO
3	HP50102	OTHER	FM	HEALTH PARTNERS
4	465R5AN	OTHER	MN	BLUE PLUS
5	01-21435	OTHER	MN	MEDICA
6	465R5AN	OTHER	FM	BCBS
7	2307523	OTHER	FM	ARAZ
8	10091	OTHER	FM	AVERA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457335747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY ANDERSON P.A.

Provider Business Mailing Address
First Line	:	P.O BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 EASTLAKE AVE E
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-4405
Country	:	US
Telephone Number	:	206-288-7490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	11/23/2010

Similar Medicare Providers

1285202630 — KATHERIN FUNICIELLO PA
Practice Location Address:

825 EASTLAKE AVE E
SEATTLE, WA
98109-4405

Practice Phone: 206-520-5000
Practice Fax:

1518067115 — DR. JEANNE MCCARTHY-KAISER PHARMD
Practice Location Address:

825 EASTLAKE AVE E , MAILBOX 358081
SEATTLE, WA
98109-4405

Practice Phone: 206-288-6279
Practice Fax: 206-288-6998

1689678567 — MRS. BARBARA GALUTIA REGIS PA-C
Practice Location Address:

825 EASTLAKE AVE E
SEATTLE, WA
98109-4405

Practice Phone: 206-520-5000
Practice Fax:

1881691871 — MICHAEL GEORGE CAP RPH
Practice Location Address:

825 EASTLAKE AVE E # G5900 , BOX 19023
SEATTLE, WA
98109-4405

Practice Phone: 206-288-1381
Practice Fax: 206-288-1387

1629068846 — DR. JANIE MOE LEE MD
Practice Location Address:

825 EASTLAKE AVE E
SEATTLE, WA
98109-4405

Practice Phone: 206-520-5000
Practice Fax:

1780666131 — DR. THOMAS JAMES LYNCH JR. MD
Practice Location Address:

825 EASTLAKE AVE E
SEATTLE, WA
98109-4405

Practice Phone: 206-520-5000
Practice Fax:

Directions to “ HOLLY ANDERSON P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.