Organization
OLYMPIA ARTHRITIS & REHABILITATION CLINIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WALTER LAYTON M.D. (PRESIDENT)
(360) 754-6700
Entity
Organization
Contact information
Practice address
1212 HARRISON AVE NW, OLYMPIA, WA 98502-5466
(360) 754-6700
(360) 357-2202
Mailing address
1212 HARRISON AVE NW, OLYMPIA, WA 98502-5466
(360) 754-6700
(360) 754-0164
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD00024518
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027689
—
WA
01
—
12371
L&I NUMBER MWL
WA
01
—
126185
L&I NUMBER YSC
WA
05
—
8235038
—
WA
Enumeration date
01/18/2007
Last updated
02/08/2011
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