Individual
MICHAEL JOSEPH OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 W CATALDO AVE FL 2, SPOKANE, WA 99201-2217
(509) 624-2326
(509) 744-3040
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M000033584
WA
207YX0901X
Otology & Neurotology Physician
Primary
MD00033584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092621
—
WA
01
—
122610
L & I
WA
01
—
40012408
RAILROAD MEDICARE
WA
Enumeration date
05/13/2006
Last updated
08/23/2023
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