Individual
JOHN C O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003529
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8414047
—
WA
Enumeration date
02/21/2007
Last updated
05/20/2021
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