Individual
SARA JANE WASILENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
128 LILLY RD NE STE 205, OLYMPIA, WA 98506-7400
(360) 493-7444
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OP60735920
WA
Other
Enumeration date
05/25/2010
Last updated
04/28/2021
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