NPI | 1245214683 |
---|---|
Former Legal Business Name | ORCAS FAMILY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | DAVID C SHINSTROM Medical Director 360-376-7778 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA WA17180) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00037547) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-08-22 |