Individual
BRANDI M OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5814 GRAHAM AVE STE 101, SUMNER, WA 98390-2728
(253) 891-7093
Mailing address
5006 CENTER ST STE N, TACOMA, WA 98409-2314
(253) 476-3333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214292
DEPT OF L & I
WA
Enumeration date
04/05/2007
Last updated
02/28/2022
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