Individual
JOSHUA B OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
102 S 7TH ST, APT. D, MOUNT VERNON, WA 98274-3982
(360) 333-0114
Mailing address
102 S 7TH ST, APT. D, MOUNT VERNON, WA 98274-3982
(360) 333-0114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00025221
WA
Other
Enumeration date
03/29/2008
Last updated
03/29/2008
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