Justin Olswanger
Family Doctor - Adult Medicine
55 W Tietan St
Walla Walla
, Washington 99362-4445
Justin Olswanger
Family Doctor - Adult Medicine
55 W Tietan St
Walla Walla
, Washington 99362-4445
(509) 522-1592
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Justin Olswanger
- 55 W Tietan St
- Walla Walla, WA
- Zip : 99362-4445
- Fax : (509) 522-1592
- Phone : (509) 525-3720
Second Address
- Justin Olswanger
- 55 W Tietan St
- Walla Walla, WA
- Zip : 99362-4445
- Fax : (509) 522-1592
- Phone : (509) 525-3720
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | OP60093051 | WA |
National Provider Identifier
| NPI | 1033265657 |
|---|---|
| Provider Name | Justin Olswanger |
| First Address | Walla Walla, WA 99362-4445 |
| Second Address | Walla Walla, WA 99362-4445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 15/09/2020 |
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.