Individual
OLGA KLACHKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
(425) 557-8014
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
PA60608537
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2014
Last updated
04/16/2018
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