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
Update your record
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