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

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

Individual provider Surgical Physician Assistant · NPI 1346326204

Timothy Eli Holmstrom, MS, PA-C, ATC, CSCS is a Physician Assistant in Pullman, Washington. Qualified in 2010, 16 years ago. Practices with Public Hospital District 1-A of Whitman County, a 96-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
16
Licensed in
ID, WA
In the registry since
2006
Specialties on file
7
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone: (509) 332-2828
Fax: (509) 334-7474
Show map & directions

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

Additional practice locations (2)

  • 500 S 8th St, Boise, ID 83702-7107 — (855) 255-1750
  • 413 29th St Ne Ste I, Puyallup, WA 98372-7154 — (855) 255-1750

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60197224 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-2514 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA-2514 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA 60197224 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-2514 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA60197224 (WA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1346326204
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PA-C , ATC , CSCS
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Public Hospital District 1-A Of Whitman County — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare