Individual
DALE E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPO
Contact information
Practice address
2102 CARRIAGE DR SW, SUITE 102, OLYMPIA, WA 98502-5700
(360) 956-3333
(360) 956-3339
Mailing address
PO BOX 1994, OLYMPIA, WA 98507-1994
(360) 956-3333
(360) 956-3339
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000176
WA
224P00000X
Prosthetist
Primary
PS00000283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3580WE
BLUESHIELD
WA
05
—
9051483
—
WA
Enumeration date
03/31/2006
Last updated
05/04/2011
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