# PUGET SOUND GASTROENTEROLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fremont Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386615912
- **Authorized official:** ALAN OLIVER CEO (CEO)
- **Authorized official phone:** (786) 530-3820

## Contact information

- **Practice address:** 501 N 34TH ST, SUITE 101, SEATTLE, WA 98103-8645
- **Practice address phone:** (206) 838-1777
- **Practice address fax:** (206) 838-1771
- **Mailing address:** PO BOX 34888, SEATTLE, WA 98124-1888
- **Mailing address phone:** (425) 977-4620
- **Mailing address fax:** (425) 745-9836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 600388519 | WA | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 05/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0205564 | LABOR AND INDUSTRIES | WA |
| 05 | — | 1043958 | — | WA |