Organization
DOCTORS CLINIC A PC
Active
Organization
DOCTORS CLINIC A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A. BROWN (CEO)
(360) 782-3610
Entity
Organization
Contact information
Practice address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
(360) 782-3610
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75420
LABOR & INDUSTRIES
WA
01
—
CU0247
RAILROAD MEDICARE
—
Enumeration date
07/03/2007
Last updated
01/23/2008
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