Organization
DOUGLAS H LOUIE MD PHD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS H LOUIE MD (PHYSICIAN/PRESIDENT)
(253) 537-1562
Entity
Organization
Contact information
Practice address
12157 PACIFIC AVE S, TACOMA, WA 98444-5124
(253) 537-1562
Mailing address
12157 PACIFIC AVE S, TACOMA, WA 98444-5124
(253) 537-1562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00024972
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111756
—
WI
01
—
E98233
UPIN
WA
Enumeration date
12/11/2009
Last updated
03/07/2023
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