Dr. Tory John Olsen
Family Doctor
400 S 43rd St
Renton
, Washington 98055-5714
Dr. Tory John Olsen
Family Doctor
400 S 43rd St
Renton
, Washington 98055-5714
(425) 656-4224
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Tory John Olsen
- 400 S 43rd St
- Renton, WA
- Zip : 98055-5714
- Phone : (425) 656-4224
Second Address
- Dr. Tory John Olsen
- 400 S 43rd St
- Renton, WA
- Zip : 98055-5714
- Phone : (425) 656-4224
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | ML60770411 | WA |
National Provider Identifier
| NPI | 1003336686 |
|---|---|
| Provider Name | Dr. Tory John Olsen |
| First Address | Renton, WA 98055-5714 |
| Second Address | Renton, WA 98055-5714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2017 |
| Last Update Date | 04/02/2022 |
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.