Individual
PREETI KONDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3525 ENSIGN RD NE STE R, PMG SW WA OLYMPIA INFECTIOUS DISEASES, OLYMPIA, WA 98506-5065
(360) 493-4001
(360) 455-7405
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OP60098127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP60098127
STATE LICENCE
WA
Enumeration date
07/09/2008
Last updated
06/16/2021
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