Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Port Orchard Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DEAN FIELD MD (CMO)
(253) 858-9192
Entity
Organization
Contact information
Practice address
451 SW SEDGWICK RD, STE 110, PORT ORCHARD, WA 98367
(360) 874-5900
(360) 874-5959
Mailing address
451 SW SEDGWICK RD, STE 110, PORT ORCHARD, WA 98367
(360) 874-5900
(360) 874-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207870
STATE L&I
WA
05
—
7132459
—
WA
01
—
8928223
STATE CRIME VICTIMS
WA
Enumeration date
08/24/2006
Last updated
03/23/2009
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