# RICHARD T KUBINIEC MD PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336318088
- **Authorized official:** RICHARD T KUBINIEC MD (PRESIDENT/OWNER)
- **Authorized official phone:** (360) 892-0208

## Contact information

- **Practice address:** 11801 NE 65TH ST, \#A, VANCOUVER, WA 98662-5552
- **Practice address phone:** (360) 892-0208
- **Practice address fax:** (360) 892-9081
- **Mailing address:** PO BOX 820523, VANCOUVER, WA 98682-0011
- **Mailing address phone:** (360) 892-0208
- **Mailing address fax:** (360) 892-9081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD00034433 | WA | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 03/04/2008