MEDICARE: DR. VIVIAN L BLANCO MD

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	207Q00000X	Family Medicine Physician	MD00036490	WA

General Provider Information

NPI Number	:	1124112073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIVIAN L BLANCO MD

Provider Business Mailing Address
First Line	:	436 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5014
Country	:	US
Telephone Number	:	360-352-7779
Fax Number	:	360-352-5175

Provider Business Practice Location Address
First Line	:	436 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5014
Country	:	US
Telephone Number	:	360-352-7779
Fax Number	:	360-352-5175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	11/27/2007

Similar Medicare Providers

1568315232 — KRYSTAL MARIE GARCIA
Practice Location Address:

436 MCPHEE RD SW
OLYMPIA, WA
98502-5014

Practice Phone: 512-599-3865
Practice Fax:

1700881422 — DR. JOSEPH Z YE MD, PHD
Practice Location Address:

420 MCPHEE RD SW , STE A
OLYMPIA, WA
98502-5014

Practice Phone: 360-352-2900
Practice Fax: 360-352-2916

1457358749 — MIN S KANG MD
Practice Location Address:

420 MCPHEE RD SW , SUITE A
OLYMPIA, WA
98502-5014

Practice Phone: 360-352-2900
Practice Fax: 360-352-2916

1609808831 — LINLI XUAN MD
Practice Location Address:

420 MCPHEE RD SW , SUITE A
OLYMPIA, WA
98502-5014

Practice Phone: 360-352-2900
Practice Fax: 360-352-2916

1497772149 — ARTHUR C TOLENTINO PH.D.
Practice Location Address:

436 MCPHEE RD SW
OLYMPIA, WA
98502-5014

Practice Phone: 360-799-5782
Practice Fax: 360-539-1715

1588846091 — BLANCO FAMILY MEDICINE, PLLC
Practice Location Address:

436 MCPHEE RD SW
OLYMPIA, WA
98502-5014

Practice Phone: 360-352-7779
Practice Fax:

Directions to “ DR. VIVIAN L BLANCO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.