Individual
STEVEN WAYNE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 HWY 20 EAST, SUITE #A, TWISP, WA 98856
(509) 689-0991
(509) 689-0819
Mailing address
HWY 173 #826, BREWSTER, WA 98812
(509) 689-0991
(509) 689-0819
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
9055070
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9055070
—
WA
05
—
9058181
—
WA
Enumeration date
11/20/2006
Last updated
02/13/2008
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