Organization
COASTAL FAMILY MEDICINE INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA HOLM (OFFICE MANAGER)
(360) 289-4151
Entity
Organization
Contact information
Practice address
597 POINT BROWN AVE NW, OCEAN SHORES, WA 98569-9632
(360) 289-4151
(360) 289-4693
Mailing address
PO BOX 1569, OCEAN SHORES, WA 98569-1569
(360) 289-4151
(360) 289-4693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042371
WA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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