Individual
IFESINACHI S OGUAKWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 SO KITSAP BLVD, SUITE 100, PORT ORCHARD, WA 98366
(360) 744-6275
(360) 744-6270
Mailing address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 744-6275
(360) 744-6270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60138693
WA
207Q00000X
Family Medicine Physician
R-7799
IA
Other
Enumeration date
10/12/2006
Last updated
05/20/2021
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