Individual
JOHN E OLERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UWMC-ROOSEVELT, 4225 ROOSEVELT WAY NE, SEATTLE, WA 98105-6166
(206) 598-4067
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00015240
WA
207NP0225X
Pediatric Dermatology Physician
Primary
MD00015240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8392805
—
WA
Enumeration date
10/27/2006
Last updated
03/03/2009
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