# PHYSICIANS CARE FAMILY MEDICINE INC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dietrich & Smith Clinic, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396802492
- **Authorized official:** HERBERT EDWIN STICKLE M.D. (ADMINSTRATOR)
- **Authorized official phone:** (360) 856-4141

## Contact information

- **Practice address:** 1990 HOSPITAL DRIVE, SUITE 100, SEDRO WOOLLEY, WA 98284-9315
- **Practice address phone:** (360) 856-4141
- **Practice address fax:** (360) 856-4145
- **Mailing address:** 1990 HOSPITAL DRIVE, SUITE 100, SEDRO WOOLLEY, WA 98284-9315
- **Mailing address phone:** (360) 856-4141
- **Mailing address fax:** (360) 856-4145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/01/2007