Individual provider · NPI-1

Heshani W Abeysundara, M.D.

Family Medicine · Olympia, WA

NPI number1205218153
StatusActive
Last updated in NPPESNov 20, 2024

Details

NPI
1205218153
Entity type
Individual (NPI-1)
Name
Heshani W Abeysundara
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2015
Certification date
Nov 20, 2024
Last updated
Nov 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD61518738WAYes

Practice location

1620 Cooper Point Rd Sw
Olympia, WA 98502-5736

Phone 604-866-7103 · Fax 360-705-0269

Mailing address

Po Box 3360
Portland, OR 97208-3360

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