Provider Demographics
NPI:1770153280
Name:HOLLEN, DREW SEBASTIAN (DO)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:SEBASTIAN
Last Name:HOLLEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-9169
Mailing Address - Country:US
Mailing Address - Phone:360-736-0771
Mailing Address - Fax:844-802-4332
Practice Address - Street 1:2526 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9169
Practice Address - Country:US
Practice Address - Phone:360-736-0771
Practice Address - Fax:844-802-4322
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP70027226207Q00000X
OK8156207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine