Individual
JESSICA A DIBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60666672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042924
—
WA
Enumeration date
06/09/2014
Last updated
02/16/2023
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