Most Relevant Information
Provider Data
NPI Number: | 1003336686 |
Provider Name: | TORY JOHN OLSEN MD |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | ML60770411 |
Most Important Dates
Enumeration Date: | 06/23/2017 |
Last Updated: | 02/04/2022 |
Provider Practice Location
400 S 43RD ST
RENTON
WA
980555714
Practice Location Phone/Fax
Phone: | 4256564224 |
Fax: |
Provider Mailing Location
400 S 43RD ST
RENTON
WA
980555714
Provider Mailing Phone/Fax
Phone: | 4256564224 |
Fax: |
Suggested EMR
Family Practice EMR