Individual provider Active NPI

Olena Pavlenko

  • Dental Hygienist
  • Tumwater, WA
National Provider Identifier
1841107497
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DEHY.DH.70150888 Issued in WA
Practice address
6004 Capitol Blvd SE
Tumwater, WA 98501-8520
Phone
(360) 522-9070
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DEHY.DH.70150888 WA Primary

Addresses

Primary practice location

6004 Capitol Blvd SE
Tumwater, WA 98501-8520

Mailing address

1660 Sequalitchew Dr Unit 104
Dupont, WA 98327-6821
Phone (718) 501-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1841107497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SEQUALITCHEW DR UNIT 104",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983276821",
            "telephone_number": "718-501-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985018520",
            "telephone_number": "360-522-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLENKO",
        "first_name": "OLENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DEHY.DH.70150888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.