Randall Clark Olson in Burien - General Practice
Randall Clark Olson - NPI 1578632139
Randall Clark Olson is a General Practice in Burien, Washington. Randall Clark Olson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Clark Olson is 1578632139. The last update date is 2007-07-08.
Randall Clark Olson's current location address is 610 Sw 152nd St, Burien, Washington. You can contact this provider via phone number 2062412091 and fax number 2062411908. The mailing address for Randall Clark Olson is 610 Sw 152nd St, Burien, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Clark Olson |
|---|---|
| Address | 610 Sw 152nd St, Burien, Washington |
| Phone Number | 2062412091 |
| Fax Number | 2062411908 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578632139 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 610 Sw 152nd St |
|---|---|
| City | Burien |
| State | Washington (WA) |
| Post Code | 981662213 |
| Phone Number | 2062412091 |
| Fax Number | 2062411908 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5907 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Randall Clark Olson by the Centers for Medicare & Medicaid Services?
The Randall Clark Olson has been assigned the NPI (National Provider Identifier) 1578632139. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall Clark Olson's physical address?
The Randall Clark Olson is physically located at 610 Sw 152Nd St, in the city of Burien, WA, with the postal code 981662213.
What is Randall Clark Olson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall Clark Olson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Randall Clark Olson receive its 1578632139 assignment from the Centers for Medicare & Medicaid Services?
The Randall Clark Olson was assigned its 1578632139 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Randall Clark Olson last refreshed?
The information related to the Randall Clark Olson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.