Provider Demographics
NPI:1164695854
Name:HEWETT, OLGA OGAI (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:OGAI
Last Name:HEWETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:
Other - Last Name:OGAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 5TH AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3136
Mailing Address - Country:US
Mailing Address - Phone:206-374-0109
Mailing Address - Fax:
Practice Address - Street 1:1200 5TH AVE STE 800
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3136
Practice Address - Country:US
Practice Address - Phone:206-374-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1209322084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry