| Providence Family Medicine East Olympia | |
|
525 Lilly Rd Ne Ste 250 Olympia WA 98506-5101 | |
| (425) 525-6694 | |
| Not Available |
| Full Name | Providence Family Medicine East Olympia |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Lilly Rd Ne Ste 250, Olympia, Washington |
| Authorized Official Name and Position | Daniel T Harris (CFO) |
| Authorized Official Contact | 4256873603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Medicine East Olympia Po Box 34439 Seattle WA 98124-1439 Ph: (425) 525-6778 | Providence Family Medicine East Olympia 525 Lilly Rd Ne Ste 250 Olympia WA 98506-5101 Ph: (425) 525-6694 |
| NPI Number | 1548571615 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548571615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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