Individual
GARETH MAGNUS OLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26 E 5TH AVE, SPOKANE, WA 99202-1309
(509) 747-5615
Mailing address
3210 W CENTRAL AVE, SPOKANE, WA 99205-7362
(509) 370-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61156842
WA
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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