Individual provider · NPI-1

Dr. Alexandra Rose Babinchak, MD

Family Medicine · Olympia, WA

NPI number1073188264
StatusActive
Last updated in NPPESJul 21, 2021

Details

NPI
1073188264
Entity type
Individual (NPI-1)
Name
Dr. Alexandra Rose Babinchak
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2021
Certification date
Jul 21, 2021
Last updated
Jul 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineML61163371WAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

525 Lilly Rd Ne
Olympia, WA 98506-5101

Phone 360-493-4002

Mailing address

525 Lilly Rd Ne
Olympia, WA 98506-5101

Phone 360-493-4002

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