Healthcare Provider Details

I. General information

NPI: 1528035029
Provider Name (Legal Business Name): BRIDGET K SIPHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 12TH AVE NE
OLYMPIA WA
98506
US

IV. Provider business mailing address

3434 12TH AVE NE
OLYMPIA WA
98506
US

V. Phone/Fax

Practice location:
  • Phone: 360-413-8470
  • Fax: 360-413-8490
Mailing address:
  • Phone: 360-413-8470
  • Fax: 360-413-8490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00044650
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: