Organization · NPI-2
Advanced Family Wellness Ps
Family Medicine · Olympia, WA
NPI number1346447653
StatusActive
Last updated in NPPESAug 30, 2007
Details
- NPI
- 1346447653
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Family Wellness Ps
- Organization subpart
- No
- Enumeration date
- Jun 29, 2007
- Last updated
- Aug 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00047535 | WA | Yes |
Other names
- Advanced Family Wellness INC Ps (Other Name)
Practice location
1115 West Bay Dr Nw Suite 202Olympia, WA 98502
Phone 360-570-8010 · Fax 360-570-8009
Mailing address
1115 West Bay Dr Nw Suite 202Olympia, WA 98502
Phone 360-570-8010 · Fax 360-570-8009
Authorized official
Natalie Irene Kreinbrink Kather
Physician
3695708010
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