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Organization
MSO WASHINGTON, INC.
Active
Organization
MSO WASHINGTON, INC.
Active
Other names
The Home Doctor
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PLUNKETT (PRESIDENT)
(253) 984-7247
Entity
Organization
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 984-7247
(253) 584-8916
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 984-7247
(253) 584-8916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/04/2014
Last updated
10/27/2020
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