Organization
OLYMPIC ANESTHESIA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G WAYNE MD (PRESIDENT)
(360) 479-3657
Entity
Organization
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(425) 609-0599
Mailing address
PO BOX 94704, SEATTLE, WA 98124-7004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
181011718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046000
WA LABOR AND INDUST GRP N
WA
05
—
7825508
—
WA
01
—
CS4470
RRMEDICARE GRP NUMBER
WA
Enumeration date
05/19/2006
Last updated
11/27/2023
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