Organization
OLYMPIC INTERNAL MEDICINE, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ANN FREY (PRACTICE ADMINISTRATOR)
(360) 377-3923
Entity
Organization
Contact information
Practice address
2620 WHEATON WAY, BREMERTON, WA 98310-3335
(360) 377-3923
(360) 373-4988
Mailing address
2620 WHEATON WAY, BREMERTON, WA 98310-3335
(360) 377-3923
(360) 373-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7147309
—
WA
Enumeration date
08/10/2009
Last updated
11/12/2009
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