Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
Other names
Puget Sound Gastroenterology at Edmonds
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER CEO (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
21600 HWY 99, SUITE 260, EDMONDS, WA 98026-8012
(425) 774-2650
(425) 774-2643
Mailing address
PO BOX 34888, SEATTLE, WA 98124-1888
(425) 977-4620
(425) 745-9836
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037140
LABOR AND INDUSTRIES
WA
05
—
1042580
—
WA
Enumeration date
07/25/2006
Last updated
05/16/2025
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