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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1619127206
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	:	3901 CAPITAL MALL DR SW
Second Line	:	STE C
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8654
Country	:	US
Telephone Number	:	360-786-8990
Fax Number	:	360-786-9010

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

Provider Enumeration Date	:	09/19/2008
Last Update Date	:	12/18/2025

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