Organization
MEMORIAL NEPHROLOGY ASSOCIATES PLLC
Active
Organization
MEMORIAL NEPHROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKI COLLETT (PRACTICE ADMINISTRATOR)
(360) 413-8391
Entity
Organization
Contact information
Practice address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
(360) 413-8865
Mailing address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
(360) 413-8865
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/07/2006
Last updated
10/21/2024
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