Organization
OLYMPIA OBSTETRICS & GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE T SORENSON MD (PARTNER)
(360) 413-8413
Entity
Organization
Contact information
Practice address
615 LILLY RD NE STE 200, OLYMPIA, WA 98506-5137
(360) 413-8413
(360) 413-7143
Mailing address
PO BOX 1008, OLYMPIA, WA 98507-1008
(360) 413-8413
(360) 413-8879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128077
—
WA
01
—
G8854429
MEDICARE PTAN
WA
Enumeration date
05/31/2006
Last updated
11/16/2022
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