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Organization

DIETRICH & SMITH CLINIC INC P S

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARYN L CLARK (CLINIC ADMINISTRATOR)
(360) 856-4141
Entity
Organization

Contact information

Practice address
2241 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4326
(360) 856-4141
(360) 856-4145
Mailing address
2241 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4326
(360) 856-4141
(360) 856-4145

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47990
WASH STATE LABOR & INDUST
WA
05
7080559
WA
Enumeration date
06/21/2005
Last updated
08/22/2020
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