Individual
WYATT C EHRLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4180
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00049369
WA
207R00000X
Internal Medicine Physician
MD037173
DC
208M00000X
Hospitalist Physician
MD00049369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00049369
STATE LICENSE
WA
Enumeration date
02/28/2008
Last updated
05/18/2021
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