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Organization

PROLIFIC WELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVELYN LE ND, MPH, FAIHM (CLINIC OWNER)
(530) 429-2096
Entity
Organization

Contact information

Practice address
520 LILLY RD NE BLDG 2, OLYMPIA, WA 98506-5255
(530) 429-2096
Mailing address
9160 CANDYTUFT LANE SOUTHEAST, TUMWATER, WA 98501
(530) 429-2096

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
207Q00000X
Family Medicine Physician
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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