Dr Athena Tudino, MD | |
615 Lilly Rd Ne Ste 200, Olympia, WA 98506-5137 | |
(360) 413-8413 | |
(360) 413-7143 |
Full Name | Dr Athena Tudino |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 615 Lilly Rd Ne Ste 200, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1285294454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD61422174 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Obhg Washington Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087 |
Mailing Address | Practice Location Address |
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Dr Athena Tudino, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr Athena Tudino, MD 615 Lilly Rd Ne Ste 200, Olympia, WA 98506-5137 Ph: (360) 413-8413 |
Elizabeth A Howell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Dr. Thomas Wu, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 404 Black Hills Ln Sw, Suite C, Olympia, WA 98502 Phone: 360-754-0660 Fax: 360-754-0139 | |
Leah Ann Miller, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-7230 | |
Ms. Laurel A Dickason, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502 Phone: 360-705-1259 Fax: 360-705-2757 | |
Melanie L Andersen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Sara Dawn Patt O'dell, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Puneet Bhullar, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 615 Lilly Rd Ne Ste 200, Olympia, WA 98506 Phone: 360-413-8413 Fax: 360-413-7148 |