Individual
OLUWASOLA OLAMIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Mailing address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60125703
WA
207L00000X
Anesthesiology Physician
P1378
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD60125703
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
P1378
TX
207LP3000X
Pediatric Anesthesiology Physician
P1378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308360201
—
TX
Enumeration date
05/21/2008
Last updated
02/14/2020
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