Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathanael Wells Holbrook, PA

Individual provider Physician Assistant · NPI 1588300370

Nathanael Wells Holbrook, PA is a Physician Assistant in Eugene, Oregon. Qualified in 2021, 5 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

598 E 13th Ave
Eugene, OR 97401-4783
Phone: (541) 636-3473
Fax: (541) 305-4449
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Chateaugay Rd, Knoxville, TN 37923-2017 — (443) 465-5528

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA226123 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588300370
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eugene