Olympic Valley Clinic, Pllc | |
11 Schouweiler Rd Elma WA 98541-9306 | |
(360) 482-5300 | |
(360) 482-5900 |
Full Name | Olympic Valley Clinic, Pllc |
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Speciality | Clinic/Center |
Location | 11 Schouweiler Rd, Elma, Washington |
Authorized Official Name and Position | Ashley M Taylor (PROVIDER/OWNER) |
Authorized Official Contact | 3604850046 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Olympic Valley Clinic, Pllc 1905 Owen Dr Montesano WA 98563-9761 Ph: (360) 451-8719 | Olympic Valley Clinic, Pllc 11 Schouweiler Rd Elma WA 98541-9306 Ph: (360) 482-5300 |
NPI Number | 1710601299 |
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Provider Enumeration Date | 09/28/2022 |
Last Update Date | 09/28/2022 |
Medicare PECOS PAC ID | 5092186387 |
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Medicare Enrollment ID | O20230124003238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710601299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ashley M Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598358277 PECOS PAC ID: 7911315114 Enrollment ID: I20210427002081 |
Provider Name | Laura K Skinner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649817487 PECOS PAC ID: 9638595606 Enrollment ID: I20230330001394 |
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