Individual
AMY H OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3707 PROVIDENCE POINT DR SE STE C, ISSAQUAH, WA 98029-6216
(425) 414-3939
(425) 738-3110
Mailing address
3707 PROVIDENCE POINT DR SE STE C, ISSAQUAH, WA 98029-6216
(425) 414-3939
(425) 738-3110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8398133
—
WA
Enumeration date
07/31/2006
Last updated
03/22/2024
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