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Justin Olswanger, DO
Adult Medicine Physician in Walla Walla, Washington
NPI 1033265657

Justin Olswanger is an Adult Medicine Physician based in Walla Walla, WA and is specialized in Adult Medicine. Justin Olswanger practices in Walla Walla, WA and has the professional credentials of DO. The NPI Number for Justin Olswanger is 1033265657 and holds a License No. TL-2214 (Washington).

The current practice location address for Justin Olswanger is 55 W Tietan St, Walla Walla, WA and can be reached out via phone at 509-525-3720 and via fax at 509-522-1592.

Location: 55 W Tietan St, Walla Walla, WA, 99362-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033265657
Provider Name
Justin Olswanger
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
55 W Tietan St, Walla Walla, WA, 99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
55 W Tietan St
City
Walla Walla
State
Washington
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
person
Provider Business Mailing Address Details
Address
55 W Tietan St
City
Walla Walla
State
Washington
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
OP60093051 (Washington)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TL-2214 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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