Organization
DONALD G. DICKEN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MARIE MOREHOUSE (OFFICE MANAGER)
(509) 545-0414
Entity
Organization
Contact information
Practice address
1200 N. 14TH AVE, SUITE 275, PASCO, WA 99301-4079
(509) 545-0414
(509) 545-9398
Mailing address
1200 N. 14TH AVE, SUITE 275, PASCO, WA 99301-4079
(509) 545-0414
(509) 545-9398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00028507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110584
—
WA
Enumeration date
04/26/2007
Last updated
08/22/2020
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