IndividualActive
Jeffrey Wilson
NPI 1104579531 · Surgical Technologist · Olympia, WA
Provider details
- NPI number
- 1104579531
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00002628 (WA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
7943 Hargis St Nw
Olympia, WA 98502-9645
Phone: (360) 480-1410
Approximate (ZIP-level) locationGet directions
Mailing address
7943 Hargis St Nw
Olympia, WA 98502-9645
Registry dates
- Enumerated
- 2022-01-26
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.