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OLYMPIC MEDICAL PLLC NPI 1063010957


NPI Information

NPI: 1063010957
Provider Name: OLYMPIC MEDICAL PLLC

Doing Business As: OLYMPIC MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D2198722

Address:
6342 LITTLEROCK RD SW BLDG 3
TUMWATER, WA
ZIP 98512
Phone: (425) 410-5998
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OLYMPIC MEDICAL PLLC is a family medicine in Tumwater, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OLYMPIC MEDICAL PLLC NPI is 1063010957. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Olympic Medical Clinic.

The provider's business location address is:

6342 LITTLEROCK RD SW BLDG 3
TUMWATER, WA
ZIP 98512-332
Phone: (425) 410-5998
Fax: (425) 217-0945

The provider's authorized official is Christopher Schwartz .
The authorized official title is Physician/clinic Owner and has the following contact phone number (425) 410-5998.

The CLIA number assigned to this NPI record is 50D2198722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2020 and was last updated on 11/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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