NPI 1073573820
Olympia Open MRI LLC
Practice location
- Address
- 669 Woodland Square Loop SE STE D, Lacey, WA 98503-1038
- Phone
- (360) 413-9393
- Fax
- (360) 413-9365
- Mailing address
- 10151 SW Barbur Blvd STE 105d, Portland, OR 97219-5911
Authorised official
- Name
- Susan Michael Golden
- Title
- Managing Member
- Phone
- (503) 246-2808
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1073573820
- Entity type
- Organization
- NPI issued
- 24 Mar 2006
- Record last updated
- 10 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.