Organization
FREELAND PRIMARY CARE PLLC
Active
Other names
South Island Primary and Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JOHNSON (PRACTICE MANAGER)
(360) 331-3343
Entity
Organization
Contact information
Practice address
5577 VANBARR PL, FREELAND, WA 98249-9555
(360) 331-3343
(360) 331-3373
Mailing address
PO BOX 935, FREELAND, WA 98249-0935
(360) 331-3343
(360) 331-3373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/07/2013
Last updated
06/12/2024
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