OLYMPIC CLINICAL SERVICES INC. NPI 1417064643

NPI Information

NPI: 1417064643
Provider Name: OLYMPIC CLINICAL SERVICES, INC.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1550 N 115TH ST
MAILSTOP E170
SEATTLE, WA
ZIP 98133
Phone: (206) 368-1244
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OLYMPIC CLINICAL SERVICES, INC. is an adult health nurse practitioner in Seattle, WA. OLYMPIC CLINICAL SERVICES, INC. NPI is 1417064643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1550 N 115TH ST
MAILSTOP E170
SEATTLE, WA
ZIP 98133-401
Phone: (206) 368-1244
Fax: (206) 368-1270

The provider's authorized official is Cynthia Ann Downs .
The authorized official title is President and has the following contact phone number (425) 275-7629.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 11/14/2007.

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
1	363LA2200X	Nurse Practitioner	Adult Health	AP30001778	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9635806	MEDICAID	WASHINGTON
2	0142812	OTHER	WASHINGTON	LABOR AND INDUSTRIES
3	GAB36279	MEDICARE PIN	WASHINGTON
4	S35384	MEDICARE UPIN	WASHINGTON
5	GAB36597	MEDICARE PIN	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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