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THE DOCTORS CLINIC A PROFESSIONAL CORPORATION NPI 1801047790


NPI Information

NPI: 1801047790
Provider Name: THE DOCTORS CLINIC A PROFESSIONAL CORPORATION

Doing Business As: THE DOCTORS CLINIC CAVALON PLACE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2011 NW MYHRE PL
SILVERDALE, WA
ZIP 98383
Phone: (360) 830-1600
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THE DOCTORS CLINIC A PROFESSIONAL CORPORATION is a multi-specialty clinic center in Silverdale, WA. THE DOCTORS CLINIC A PROFESSIONAL CORPORATION NPI is 1801047790. The provider is registered as an organization entity type.
The provider Is Doing Business As The Doctors Clinic Cavalon Place.

The provider's business location address is:

2011 NW MYHRE PL
SILVERDALE, WA
ZIP 98383-561
Phone: (360) 830-1600

The provider's authorized official is Linda A. Brown .
The authorized official title is Ceo and has the following contact phone number (360) 782-3600.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 11/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8858152MEDICARE PIN
27145543MEDICAIDWASHINGTON
3612201101OTHEROWCP
40590590010MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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