Healthcare Provider Details

I. General information

NPI: 1154827897
Provider Name (Legal Business Name): APRIL BUCHANAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL FREEMAN

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 04/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 COOPER POINT RD NW STE 102
OLYMPIA WA
98502-4462
US

IV. Provider business mailing address

365 COOPER POINT RD NW STE 102
OLYMPIA WA
98502-4462
US

V. Phone/Fax

Practice location:
  • Phone: 360-704-7900
  • Fax: 360-704-7909
Mailing address:
  • Phone: 360-704-7900
  • Fax: 360-704-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: