Individual
REBECCA OLUFADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0001
(253) 582-8440
Mailing address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(253) 583-1759
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD60931357
WA
2084P0800X
Psychiatry Physician
Primary
MD60931357
WA
390200000X
Student in an Organized Health Care Education/Training Program
263561
MA
Other
Enumeration date
03/30/2015
Last updated
02/19/2021
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