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Organization
SEQUIM MEDICAL ASSOCIATES, PLLP
Active
Organization
SEQUIM MEDICAL ASSOCIATES, PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER D OLSEN MD (PARTNER)
(360) 582-2850
Entity
Organization
Contact information
Practice address
840 N 5TH AVENUE, SUITE 2100, SEQUIM, WA 98382
(360) 582-2850
(360) 582-2850
Mailing address
840 N 5TH AVENUE, SUITE 2100, SEQUIM, WA 98382
(360) 582-2850
(360) 582-2851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019156
WA
207Q00000X
Family Medicine Physician
MD00019647
WA
207Q00000X
Family Medicine Physician
MD00019693
WA
207R00000X
Internal Medicine Physician
MD00041946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158211
LABOR & INDUSTRIES
WA
05
—
7111933
—
WA
Enumeration date
05/18/2006
Last updated
12/07/2011
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