Organization
RICHARD T KUBINIEC MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T KUBINIEC MD (PRESIDENT/OWNER)
(360) 892-0208
Entity
Organization
Contact information
Practice address
11801 NE 65TH ST, #A, VANCOUVER, WA 98662-5552
(360) 892-0208
(360) 892-9081
Mailing address
PO BOX 820523, VANCOUVER, WA 98682-0011
(360) 892-0208
(360) 892-9081
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00034433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118116
—
WA
05
—
227404
—
OR
Enumeration date
02/27/2008
Last updated
03/04/2008
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