Individual
GINA M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
PO BOX 5299, MS: 737-2-PHYS, TACOMA, WA 98415-0299
(253) 459-7973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004618
WA
363A00000X
Physician Assistant
Primary
PA10004618
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8382780
—
WA
Enumeration date
07/31/2006
Last updated
12/20/2020
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