Individual
HESHANI W ABEYSUNDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1620 COOPER POINT RD SW, OLYMPIA, WA 98502-5736
(604) 866-7103
(360) 705-0269
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61518738
WA
Other
Enumeration date
06/26/2015
Last updated
11/20/2024
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