# OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821101197
- **Authorized official:** DR. MARSHALL EDWARD MCCABE III M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (360) 704-3401

## Contact information

- **Practice address:** 3920 CAPITOL MALL DR SW, SUITE 300, OLYMPIA, WA 98502-8700
- **Practice address phone:** (360) 704-3401
- **Practice address fax:** (360) 754-0298
- **Mailing address:** 406 BLACK HILLS LN SW STE A, OLYMPIA, WA 98502-8144
- **Mailing address phone:** (360) 704-3401
- **Mailing address fax:** (360) 754-1783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | FX00057092 | WA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 10/12/2017