Provider Demographics
NPI:1225616014
Name:SCHWARZ, OLIVIA HELEN
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:HELEN
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 REPUBLICAN ST APT 913
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5966
Mailing Address - Country:US
Mailing Address - Phone:208-830-8541
Mailing Address - Fax:
Practice Address - Street 1:16108 ASH WAY STE 202
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8781
Practice Address - Country:US
Practice Address - Phone:425-741-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA612901581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice