| NPI | 1790282382 | 
|---|---|
| Doing Business As | MULTICARE OLYMPIC SPORTS AND SPINE | 
| Doing Business As | OLYMPIC SPORTS & SPINE | 
| Entity Type | Organization | 
| Authorized Contact | CECILIA J TUILEFANO Provider Enrollment Specialist 253-459-8231 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2018-04-10 | 
| Last Update Date | 2018-04-19 |