Individual
DAVID L OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1706 WASHINGTON WAY, LONGVIEW, WA 98632-2952
(360) 423-9580
(360) 423-6230
Mailing address
PO BOX 1338, LONGVIEW, WA 98632-7785
(360) 423-0390
(360) 577-3865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158033
LABOR & IND.
WA
05
—
8330896
—
WA
01
—
8936700
CRIME VICTIMS
WA
01
—
970025814
RR MEDICARE
—
Enumeration date
06/29/2005
Last updated
11/21/2019
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