Individual
OLYMPIA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 S MILDRED ST STE 104, TACOMA, WA 98465-1628
(253) 301-5640
(253) 301-5645
Mailing address
1628 S MILDRED ST STE 104, TACOMA, WA 98465-1628
(253) 301-5640
(253) 301-5645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041509
WA
207RI0200X
Infectious Disease Physician
MD00041509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017959
—
WA
Enumeration date
09/01/2006
Last updated
03/16/2026
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