Healthcare Provider Details

I. General information

NPI: 1831765130
Provider Name (Legal Business Name): ALEXANDRA ARENDT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 LILLY RD NE
OLYMPIA WA
98506-5133
US

IV. Provider business mailing address

413 LILLY RD NE
OLYMPIA WA
98506-5133
US

V. Phone/Fax

Practice location:
  • Phone: 425-284-1547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOP70077572
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: