Organization
THE DOCTORS CLINIC A PROFESSIONAL CORPORATION
Active
Other names
THE DOCTORS CLINIC WOMEN'S & CHILDREN'S CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BROWN (CEO)
(360) 782-3600
Entity
Organization
Contact information
Practice address
1780 NW MYHRE RD, SUITE 2120, SILVERDALE, WA 98383-8676
(360) 782-3100
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
—
337018606
OWCP
—
01
—
50D0860394
CLIA
—
05
—
7102080
—
WA
01
—
75420
LABOR & INDUSTRIES
WA
01
—
CU0247
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
11/24/2014
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