Organization
LA CAMBRA CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EAGLE (CEO)
(360) 949-2000
Entity
Organization
Contact information
Practice address
7205 MARTIN WAY E, STE A-69, OLYMPIA, WA 98516-5555
(360) 949-2000
Mailing address
7205 MARTIN WAY E, STE A-69, OLYMPIA, WA 98516-5555
(360) 949-2000
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
84152600
WA
Other
Enumeration date
08/13/2012
Last updated
09/18/2012
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