Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
Other names
Seattle Gastroenterology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER CEO (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
11027 MERIDIAN AVE N, SUITE 100, SEATTLE, WA 98133-1705
(206) 365-4492
(206) 368-3456
Mailing address
PO BOX 34888, SEATTLE, WA 98124-1888
(425) 977-4620
(425) 745-9836
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
WA
291U00000X
Clinical Medical Laboratory
600388519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031330
LABOR AND INDUSTRIES
WA
05
—
1045049
—
WA
Enumeration date
06/12/2006
Last updated
05/16/2025
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