Provider Demographics
NPI:1992073472
Name:OLYMPIC MEDICAL
Entity type:Organization
Organization Name:OLYMPIC MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPIRATORY CARE CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-432-4548
Mailing Address - Street 1:5246 OLYMPIC DR NW
Mailing Address - Street 2:SUITE 117
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1723
Mailing Address - Country:US
Mailing Address - Phone:253-432-4548
Mailing Address - Fax:
Practice Address - Street 1:5246 OLYMPIC DR NW
Practice Address - Street 2:SUITE 117
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1723
Practice Address - Country:US
Practice Address - Phone:253-432-4548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies