Olympic Physicians P.L.L.C.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

OLYMPIC PHYSICIANS P.L.L.C.

Practice address

237 Professional Way
Shelton, WA 98584-4404

Phone

(360) 426-2500

Fax

(360) 426-2787

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Pam Schlauderaff

Title

Clinic Manager

Phone

(360) 427-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1881663318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 PROFESSIONAL WAY",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985844404",
            "telephone_number": "360-426-2500",
            "fax_number": "360-426-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 PROFESSIONAL WAY",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985844404",
            "telephone_number": "360-426-2500",
            "fax_number": "360-426-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PHYSICIANS P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "SCHLAUDERAFF",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "360-427-2500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7098437",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7590763",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin S Olsen, LMP
• Meghan Elizabeth Olson
• Olympic Physicians P.L.L.C.
• Olympic Physicians P.L.L.C.
• Olympic Physicians P.L.L.C.
• Olympic Physicians, PLLC
• Olympic Surgical Services, P.L.L.C.
• Optical Shop of Wa Inc
• Lora Osborne
• Medina Othman Glenn, PA

• Rural Health Clinic/Center in Shelton, WA
• Providers in Shelton, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.