NPI | 1558478818 |
---|---|
Doing Business As | PORT ORCHARD MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | DEAN FIELD Cmo 253-858-9192 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00001963) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2009-03-23 |