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Organization

THE DOCTORS CLINIC A PROFESSIONAL CORPORATION

Active
Other names
THE DOCTORS CLINIC OF SILVERDALE
Organization subpart
No

Provider details

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

Contact information

Practice address
9398 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8505
(360) 782-3200
(360) 782-3240
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
377018604
OWCP
WA
01
50D364950
CLIA
05
7053739
WA
01
75420
LABOR & INDUSTRIES
WA
01
8910650
CRIME VICTIMS COMP
WA
01
CU0247
RAILROAD MEDICARE
WA
Enumeration date
05/05/2006
Last updated
11/24/2014
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