| Olympia Integrative Medicine | |
|
2610 Yelm Hwy Se Olympia WA 98501-4826 | |
| (360) 870-2011 | |
| (360) 925-3136 |
| Full Name | Olympia Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2610 Yelm Hwy Se, Olympia, Washington |
| Authorized Official Name and Position | Thomas Etherton (PRESIDENT) |
| Authorized Official Contact | 3609159389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Integrative Medicine 2610 Yelm Hwy Se Olympia WA 98501-4826 Ph: (360) 915-9389 | Olympia Integrative Medicine 2610 Yelm Hwy Se Olympia WA 98501-4826 Ph: (360) 870-2011 |
| NPI Number | 1518599273 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/23/2021 |
| Medicare PECOS PAC ID | 8628407079 |
|---|---|
| Medicare Enrollment ID | O20200406001398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518599273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas Lee Etherton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912547365 PECOS PAC ID: 9537598982 Enrollment ID: I20200406001799 |
Nisqually Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4816 She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860 | |
Olympia Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Providence St Peter Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |