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Organization

MEDICAL CENTER OF ORTING INC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMAD NABIL GIRGIS MD PCP (OWNER)
(360) 893-2266
Entity
Organization

Contact information

Practice address
122 WASHINGTON AVE S, ORTING, WA 98360-9802
(360) 893-2266
(360) 893-2821
Mailing address
PO BOX 669, ORTING, WA 98360-0669
(360) 893-2266
(360) 893-2821

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000995
WA
01
CS5845
RAILROAD MEDICARE
WA
01
MO7242
REGENCE
WA
01
W002493
CHAMPUS
WA
Enumeration date
12/12/2006
Last updated
04/18/2018
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