Organization
CMN INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M NICHOLS MD (OWNER)
(360) 878-9300
Entity
Organization
Contact information
Practice address
145 LILLY RD NE STE 101, OLYMPIA, WA 98506-5028
(360) 878-9300
Mailing address
145 LILLY RD NE STE 101, OLYMPIA, WA 98506-5028
(360) 878-9300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
00049126
WA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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