Organization
OLYMPIC PHYSICIANS P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM SCHLAUDERAFF (CLINIC MANAGER)
(360) 426-2500
Entity
Organization
Contact information
Practice address
237 PROFESSIONAL WAY, SHELTON, WA 98584
(360) 426-2500
(360) 426-2787
Mailing address
237 PROFESSIONAL WAY, SHELTON, WA 98584
(360) 426-2500
(360) 426-2787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00045960
WA
207R00000X
Internal Medicine Physician
Primary
MD00019248
WA
207R00000X
Internal Medicine Physician
MD00042875
WA
207R00000X
Internal Medicine Physician
MD00047153
WA
207R00000X
Internal Medicine Physician
OP00001739
WA
363A00000X
Physician Assistant
PA10004942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7090947
—
WA
Enumeration date
05/09/2007
Last updated
10/16/2014
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