Saowarut Kittimongcolporn, MD
Psychiatry & Neurology, Psychiatry in Olympia, WA. Individual provider (NPI-1).
NPI number1720073232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720073232
- Entity type
- Individual (NPI-1)
- Name
- Ms. Saowarut Kittimongcolporn
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD00037112 | WA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD24084 | OR | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A066236 | CA |
Practice location
1722 Harrison Ave NwOlympia, WA 98502
Phone 360-786-6750 · Fax 360-786-1089
Mailing address
1722 Harrison Ave NwOlympia, WA 98502
Phone 360-786-6750 · Fax 360-786-1089
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