# OSTEOPATHIC MEDICAL SERVICES INC P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Doctor Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740453588
- **Authorized official:** DR. DALE E ALSAGER D.O., PH.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (425) 432-4554

## Contact information

- **Practice address:** 22520 SE 218TH ST, MAPLE VALLEY, WA 98038-8001
- **Practice address phone:** (425) 432-4554
- **Practice address fax:** (425) 432-4334
- **Mailing address:** PO BOX 11009, OLYMPIA, WA 98508-1009
- **Mailing address phone:** (360) 352-2037
- **Mailing address fax:** (360) 352-0637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OP00001485 | WA | Yes |
| 207Q00000X | Family Medicine Physician | — | WA | — |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 12/17/2009