Colleen M Overdorf
Pulmonary Disease
500 Lilly Rd Ne Ste 201
Olympia
, Washington 98506-5197
Colleen M Overdorf
Pulmonary Disease
500 Lilly Rd Ne Ste 201
Olympia
, Washington 98506-5197
(317) 409-0414
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Colleen M Overdorf
- 17744 Fennel Rd Se
- Yelm, WA
- Zip : 98597-9071
- Phone : (317) 409-0414
Second Address
- Colleen M Overdorf
- 500 Lilly Rd Ne Ste 201
- Olympia, WA
- Zip : 98506-5197
- Phone : (360) 413-8272
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | OP60631569 | WA |
National Provider Identifier
| NPI | 1013174432 |
|---|---|
| Provider Name | Colleen M Overdorf |
| First Address | Yelm, WA 98597-9071 |
| Second Address | Olympia, WA 98506-5197 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2008 |
| Last Update Date | 21/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.