# BINA SOURI MD PS

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

## Provider details

- **NPI number:** 1962750588
- **Authorized official:** BINA C SOURI MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (360) 956-1880

## Contact information

- **Practice address:** 403 BLACK HILLS LN SW, SUITE C, OLYMPIA, WA 98502-8600
- **Practice address phone:** (360) 956-1880
- **Mailing address:** 403 BLACK HILLS LN SW, SUITE C, OLYMPIA, WA 98502-8600
- **Mailing address phone:** (360) 956-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD00028023 | WA | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 05/21/2018