SearchWashington363AM0700X

Timothy Holmstrom, MS, PA-C, ATC, CSCS

NPI 1346326204 · on the registry since 2006

Practice

Address
825 Se Bishop Blvd Ste 120
Pullman, WA 99163
Phone
(509) 332-2828
Fax
(509) 334-7474
Organisation at this address
Palouse Ent, Llc
Palouse Medical Ps
Palouse Urology Pllc
Palouse Surgeons, Llc
Kyle Hazelwood Md Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 500 S 8th St, Boise, ID
  • 413 29th St Ne Ste I, Puyallup, WA

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AS0400X
363A00000X
363AS0400X
363AM0700X
363A00000X
2255A2300X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington