# DAVID L OLIVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043217664
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10001837 | WA | Yes |

## Other

- **Enumeration date:** 06/29/2005
- **Last updated:** 11/21/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0158033 | LABOR & IND. | WA |
| 05 | — | 8330896 | — | WA |
| 01 | — | 8936700 | CRIME VICTIMS | WA |
| 01 | — | 970025814 | RR MEDICARE | — |
