Organization
THURSTON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E FLYNN (OFFICE SUPERVISOR)
(360) 786-5581
Entity
Organization
Contact information
Practice address
412 LILLY RD NE, OLYMPIA, WA 98506-5132
(360) 786-5581
(360) 786-5594
Mailing address
412 LILLY RD NE, OLYMPIA, WA 98506-5132
(360) 786-5581
(360) 786-5594
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7912405
—
WA
Enumeration date
03/12/2007
Last updated
08/22/2020
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