Organization
PACIFIC PRIMARY CARE - SEQUIM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM L DEPRATI PA-C (PRESIDENT)
(360) 582-2690
Entity
Organization
Contact information
Practice address
800 N 5TH AVE STE 101, SEQUIM, WA 98382-3045
(360) 582-2690
Mailing address
800 N 5TH AVE STE 101, SEQUIM, WA 98382-3045
(360) 582-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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