Organization
MAYHEW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE H MAYHEW DO (OWNER)
(360) 866-4445
Entity
Organization
Contact information
Practice address
1607 COOPER POINT RD NW, OLYMPIA, WA 98502-8325
(360) 866-4445
(360) 866-4577
Mailing address
1607 COOPER POINT RD NW, OLYMPIA, WA 98502-8325
(360) 866-4445
(360) 866-4577
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DP00001622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113984
—
WA
Enumeration date
07/05/2007
Last updated
08/22/2020
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