Individual
DEAN KIRK DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1112 6TH AVE, STE 300, TACOMA, WA 98405-4040
(253) 272-2224
(253) 572-4624
Mailing address
1112 6TH AVE, STE 300, TACOMA, WA 98405-4040
(253) 272-2224
(253) 572-4624
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005076
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214034
STATE L&I
WA
05
—
8466047
—
WA
01
—
8942898
STATE CRIME VICTIMS
WA
01
—
P00354460
MEDICARE RAILROAD
WA
Enumeration date
08/17/2006
Last updated
11/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us