NPI 1285695007

Dale E Anderson, LCPO

Practitioner Prosthetist Olympia, WA

Practice location

Address: 2102 Carriage Dr SW Suite 102, Olympia, WA 98502-5700
Phone: (360) 956-3333
Fax: (360) 956-3339
Mailing address: PO Box 1994, Olympia, WA 98507-1994

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000283 (WA)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI00000176 (WA)

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Registry record

NPI: 1285695007
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2006
Record last updated: 4 May 2011

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.