Provider Demographics
NPI:1265761381
Name:DAWSON, HOLLY JEAN (DO)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:JEAN
Last Name:DAWSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:HOLLY
Other - Middle Name:JEAN
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 5299
Mailing Address - Street 2:MS: 820-5-PCO
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98415-0299
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 MCPHEE RD SW BLDG 1
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-5080
Practice Address - Country:US
Practice Address - Phone:360-705-1259
Practice Address - Fax:360-705-2757
Is Sole Proprietor?:No
Enumeration Date:2009-12-19
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4942207VX0000X
WAOP60930140207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2134726Medicaid
OK4942OtherOK LICENSE