Search › Washington › 363LW0102X
Olivia Venneberg
NPI 1174490346 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1147 N Fairhope Pl
Ridgefield, WA 98642 - Phone
- (503) 867-3168
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington