Active NPI
La Cambra Co
- Sleep Medicine (Family Medicine) Physician
- Olympia, WA
National Provider Identifier
1013264688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 84152600
- Legal business name
- LA CAMBRA CO
- Practice address
- 7205 Martin Way E
Ste a-69
Olympia, WA 98516-5555 - Phone
- (360) 949-2000
- NPI assigned
- Aug 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Eagle
- Title
- Ceo
- Phone
- (360) 949-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 84152600 | WA | Primary |
Addresses
Primary practice location
7205 Martin Way E
Ste a-69
Olympia, WA 98516-5555
Mailing address
7205 Martin Way E
Ste a-69
Olympia, WA 98516-5555
Phone (360) 949-2000
National Provider Directory
National Provider DirectoryLocations
7205 Martin Way E
Ste A69
Olympia, WA 98516
Phone (206) 403-7410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1013264688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 MARTIN WAY E",
"address_2": "STE A-69",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985165555",
"telephone_number": "360-949-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 MARTIN WAY E",
"address_2": "STE A-69",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985165555",
"telephone_number": "360-949-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA CAMBRA CO",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "EAGLE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-949-2000"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sleep Medicine",
"state": "WA",
"license": "84152600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.