Individual
MISS REBECCA OLMSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
Mailing address
1815 SE 183RD PL, VANCOUVER, WA 98683-9710
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D160562836
WA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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