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

Nicholas Stephen Holtan, MD

Individual provider Internal Medicine Physician · NPI 1609187103

Nicholas Stephen Holtan, MD is an Internal Medicine in Centralia, Washington. Graduated from University of Arizona College of Medicine in 2010, 16 years ago. Practices with Providence Health and Services Washington, a 480-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Trained at
University of Arizona College of Medicine
Licensed in
WA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone: (360) 330-8976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60361040 (WA)

Record details

NPI number1609187103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESJanuary 23, 2018
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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