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Contact Information

OLYMPIC PHYSICIANS P.L.L.C.
237 PROFESSIONAL WAY
SHELTON, WA98584
 Phone: 360-426-2500
 Fax: 360-426-2787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for OLYMPIC PHYSICIANS PLLC · (Female)

NPI Number 1649484833
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2007
Last updated 10/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00019248
  • WA License # MD00042875
  • WA License # MD00045960
  • WA License # MD00047153
  • WA License # OP00001739
  • WA License # PA10004942
  • WA Medicaid 7090947
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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