Organization
OLYMPIA EMERGENCY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA MCKEONE MD (PRESIDENT)
(360) 493-4554
Entity
Organization
Contact information
Practice address
413 LILLY RD NE, MAILSTOP DDH09, OLYMPIA, WA 98506-5133
(360) 491-9480
(360) 493-5746
Mailing address
PO BOX 84151, SEATTLE, WA 98124-5451
(360) 493-4554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153352
WA L&I
WA
01
—
1659OL
PREMERA BC
—
01
—
192906100
US DEPT OF LABOR
—
05
—
268740
—
OR
01
—
50D0998652
CLAI
—
01
—
533663001
GROUP HEALTH
—
05
—
7109192
—
WA
01
—
8935574
WA CRIME VICITMS
WA
01
—
CJ3476
RAILROAD MEDICARE
—
Enumeration date
07/15/2006
Last updated
05/07/2024
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