Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
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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