Provider Demographics
NPI:1760606784
Name:PARTYKA, OLEG (LMT)
Entity Type:Individual
Prefix:
First Name:OLEG
Middle Name:
Last Name:PARTYKA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30425 200TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-9500
Mailing Address - Country:US
Mailing Address - Phone:206-898-1036
Mailing Address - Fax:253-886-5024
Practice Address - Street 1:3802 AUBURN WAY N STE 301
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-1400
Practice Address - Country:US
Practice Address - Phone:253-886-5016
Practice Address - Fax:253-886-5024
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00019036225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist