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Organization

DOCTORS CLINIC APC

Active
Other names
THE DOCTORS CLINIC OF EAST BREMERTON
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA A. BROWN (CEO)
(360) 782-3600
Entity
Organization

Contact information

Practice address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
(360) 782-3600
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
WA
261QM1300X
Multi-Specialty Clinic/Center
Primary
WA
261QP2300X
Primary Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20337
COAL MINE WORKERS COMP
01
337018601
OWCP
01
50D0911681
CLIA
05
7041312
WA
01
75420
LABOR & INDUSTRIES
WA
01
8914602
CVCP
WA
01
CU0247
RAILROAD MEDICARE
WA
Enumeration date
05/01/2006
Last updated
11/14/2014
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