Individual
DR. DEANNE MICHIKO NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3260 NW MOUNT VINTAGE WAY, SILVERDALE, WA 98383-6000
(360) 698-9500
(360) 698-9900
Mailing address
3260 NW MOUNT VINTAGE WAY, SILVERDALE, WA 98383-6000
(360) 698-9500
(360) 698-9900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60158450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093NA
REGENCE
WA
05
—
1609073345
—
WA
Enumeration date
06/27/2007
Last updated
10/14/2010
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