MEDICARE: OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1538029871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 368
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98507-0368
Country	:	US
Telephone Number	:	360-491-8439
Fax Number	:	360-491-6328

Provider Business Practice Location Address
First Line	:	704 LILLY RD SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-2115
Country	:	US
Telephone Number	:	360-491-8439
Fax Number	:	360-491-6328

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	GREGORY DEE BYRD
Credential	:	MD
Telephone Number	:	360-570-3460

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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