Oliver, Sirithepphavanh
Oliver, Sirithepphavanh is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Oliver, Sirithepphavanh can be contacted via phone (206) 520-5000.Contact Information
Primary practice address
825 Eastlake Ave E
Seattle WA 98109-4405
Phone: (206) 520-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60518948 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP60518948 | Washington |
Profile Details
| NPI number | 1013299197 |
|---|---|
| LBN Legal business name | Oliver, Sirithepphavanh |
| Credentials | CNP-AC, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2011 |
| Last updated | May 2nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013299197 | NPPES |
| Washington | MEDICAID | 1013299197 |
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