Individual
MIRIAM OLSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Mailing address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60586376
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
05/05/2021
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