NPI | 1518599273 |
---|---|
Doing Business As | OLYMPIA INTEGRATIVE MEDICINE |
Entity Type | Organization |
Authorized Contact | THOMAS ETHERTON President 360-915-9389 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2020-02-10 |
Last Update Date | 2021-02-23 |