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Organization

SUMAS CLINIC, INC. P.S.

Active
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Organization

SUMAS CLINIC, INC. P.S.

Active
Other names
DBA Sumas Medical Clinic, Sumas Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY LEE BRIAN THOMPSON M.D. (PHYSICIAN/PRESIDENT)
(360) 988-9404
Entity
Organization

Contact information

Practice address
112 COLUMBIA ST., SUMAS, WA 98295-1010
(360) 988-9404
(360) 988-9409
Mailing address
PO BOX 1010, 112 COLUMBIA ST., SUMAS, WA 98295-1010
(360) 988-9404
(360) 988-9409

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039892
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127285
—
WA
05
—
8294498
—
WA
Enumeration date
07/31/2007
Last updated
07/06/2011
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