Individual
LYNN C OSTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98371-0192
(253) 697-4000
Mailing address
407 14TH AVE SE, PUYALLUP, WA 98371-0192
(253) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00015953
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115153
—
WA
Enumeration date
07/27/2006
Last updated
07/08/2007
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