Organization
OLYMPIA ALLERGY AND IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ERIC WELCH MD, PHD (OWNER/PROVIDER)
(704) 754-0257
Entity
Organization
Contact information
Practice address
2320 130TH AVE NE STE 220, BELLEVUE, WA 98005-1718
(704) 754-0257
Mailing address
2320 130TH AVE NE STE 220, BELLEVUE, WA 98005-1718
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906067
—
WA
Enumeration date
08/26/2020
Last updated
12/04/2020
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