Healthcare Provider Details

I. General information

NPI: 1790758720
Provider Name (Legal Business Name): CHRISTOPHER LOVEJOY OLCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOONE RD
BREMERTON WA
98312-1898
US

IV. Provider business mailing address

11920 SEABECK HWY NW
SEABECK WA
98380-9563
US

V. Phone/Fax

Practice location:
  • Phone: 360-475-4111
  • Fax:
Mailing address:
  • Phone: 360-830-4899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD00035903
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD00035903
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: