Search › Washington › 171100000X
Ibukun Omole, ND, LAC
NPI 1508010851 · on the registry since 2008
Practice
- Address
- 6005 244th St Sw
Ste 111
Mountlake Terrace, WA 98043 - Phone
- (425) 275-5555
- Fax
- (425) 275-5590
- Organisation at this address
- Urology Northwest, Ps
Urology Northwest Surgery CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 175F00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-09
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