Olympic Medical Center Trust

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OLYMPIC MEDICAL CENTER TRUST

Practice address

7715 24TH Ave NW
Seattle, WA 98117-4412

Phone

(206) 782-1133

NPI assigned

Nov 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane Salvesen

Title

Clinic Manager

Phone

(206) 782-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OLYMPIC MEDICAL CENTER Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marjorie P. Gillespy

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1396887824
  NPD
• Mark L Lacambra, M.D.

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1508848953
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1639359706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 24TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174412",
            "telephone_number": "206-782-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 24TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174412",
            "telephone_number": "206-782-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC MEDICAL CENTER TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SALVESEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "206-782-1133"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7084874",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLYMPIC MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Emily Olver, PGD LP CCC SLP
• Glenette J. Olvera, LICSW
• Joe Angel Olvera
• Olympic Chiropractic & Spine Fitness
• Olympic Clinical Services, Inc.
• Olympic Mental Health
• Olympic Physical Therapy, Inc.
• Olympic Racquet and Health
• Sarah A Oman, MD
• Abdullahi Omar

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.