| Providence Family Medicine West Olympia | |
|
1217 Cooper Point Rd Sw Suite B Olympia WA 98502-7206 | |
| (360) 486-6710 | |
| (360) 486-6715 |
| Full Name | Providence Family Medicine West Olympia |
|---|---|
| Speciality | Internal Medicine |
| Location | 1217 Cooper Point Rd Sw, Olympia, Washington |
| Authorized Official Name and Position | Nicole Quinn (PAYOR CREDENTIALING MANAGER) |
| Authorized Official Contact | 4255256715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Medicine West Olympia Po Box 34439 Seattle WA 98124-1439 Ph: (425) 525-6778 | Providence Family Medicine West Olympia 1217 Cooper Point Rd Sw Suite B Olympia WA 98502-7206 Ph: (360) 486-6710 |
| NPI Number | 1861623548 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861623548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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