Individual
OLIVIA MARGARET KLINKHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
143-T2
WY
207Q00000X
Family Medicine Physician
Primary
OP61162122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143-T1
WYOMING BOARD OF MEDICINE
WY
Enumeration date
06/12/2018
Last updated
08/31/2021
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