Individual
DOUGLAS P WORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3309 56TH ST, STE 106, GIG HARBOR, WA 98335-8580
(253) 804-8259
(253) 804-8258
Mailing address
PO BOX 787, SUMNER, WA 98390-0140
(206) 387-2469
(877) 682-9319
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00034867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101419
—
WA
01
—
WO9746
REGENCE RIDER NUMBER
WA
Enumeration date
09/30/2006
Last updated
08/29/2019
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