Justin Olswanger (NPI# 1033265657, PAC ID# 5395891477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033265657 |
| PAC ID by PECOS | 5395891477 |
| Professional Enrollment ID | I20090914000813 |
| Full Name | Justin Olswanger |
| Organization Legal Name | WALLA WALLA CLINIC, INC. |
| Address |
55 W Tietan St Walla Walla WA 99362-4445 |
| Phone Number | 50952537201405 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264320837 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500002 | PROVIDENCE ST MARY MEDICAL CENTER |
| 501302 | DAYTON GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 W Tietan St, Walla Walla, WA 99362-4445 | 50952537201405 | WALLA WALLA CLINIC, INC. |
| Organization Legal Name | WALLA WALLA CLINIC, INC. |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey R Haveman | Physician Assistant | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| James A Vandersloot | Obstetrics/gynecology | Walla Walla Clinic, Inc. | 320 W Willow St, Women's Clinic, Walla Walla, WA 99362-2922 |
| John G Sislow | Urology | Walla Walla Clinic, Inc. | 10 Ne 5th Ave, Milton Freewater, OR 97862-1702 |
| Gunnar Leighton James Sjoren | Physical Therapy | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Emily Grace Castillo | Nurse Practitioner | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Christina R Johanson | Physical Therapy | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Jane Scribner | Dermatology | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Julie A Wuest | Family Medicine | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Kristin K Robinson | Podiatry | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Kevin Robert Andrews | Internal Medicine | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Street Address |
55 W TIETAN ST |
| City | WALLA WALLA |
| State | WA |
| Zip | 99362-4445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey R Haveman | Physician Assistant | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Gunnar Leighton James Sjoren | Physical Therapy | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Emily Grace Castillo | Nurse Practitioner | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Christina R Johanson | Physical Therapy | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Jane Scribner | Dermatology | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Julie A Wuest | Family Medicine | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Kristin K Robinson | Podiatry | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Kevin Robert Andrews | Internal Medicine | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Eric J Jauhiainen | Internal Medicine | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| John E Chapin | Neurology | Walla Walla Clinic, Inc. | 55 W Tietan St, Walla Walla, WA 99362-4445 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Wallace | Clinical Social Worker | 19 E Birch, Suite 103, Walla Walla, WA 99362 | |
| Susan L Stough | Clinical Social Worker | 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202 | |
| Natasha Anne Rustad | Clinical Social Worker | 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202 | |
| Pavel S Blagov | Clinical Psychologist | 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202 | |
| Robert L Stough Jr. | Psychologist, Clinical | 409 E Sumach St, Walla Walla, WA 99362-1228 | |
| Chance Higginbotham | Chiropractic | 2200 Melrose St, 7a, Walla Walla, WA 99362-1579 | |
| Alayna M Brinton | Clinical Social Worker | 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589 | |
| Sean Thomas Duffy | Family Medicine | Yakima Valley Farm Workers Clinic | 1120 W Rose St, Walla Walla, WA 99362-1662 |
| Bradley K Nielson | Optometry | 208 N 2nd Ave, Walla Walla, WA 99362-1806 | |
| Eric John Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Find all physicians in zip 99362 | |||
| City | WALLA WALLA |
| Zip Code | 99362 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WALLA WALLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Justin Olswanger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.