Organization
VIRGINIA E SWANSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA E SWANSON MD (OWNER)
(360) 626-9034
Entity
Organization
Contact information
Practice address
17791 FJORD DR NE, SUITE 110, POULSBO, WA 98370-8481
(360) 626-9034
(360) 626-9046
Mailing address
17791 FJORD DR NE, SUITE 110, POULSBO, WA 98370-8481
(360) 626-9034
(360) 626-9046
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00040778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117720
—
WA
01
—
163901
DEPARTMENT OF L&I
WA
01
—
610902800
OWCP
WA
Enumeration date
12/11/2006
Last updated
08/23/2011
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