Individual
DR. PHILIP LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
KAISER PERMENENTE MEDICAL OFFICE, 14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(831) 588-3011
(360) 571-3110
Mailing address
KAISER PERMENENTE MEDICAL OFFICE, 14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(831) 588-3011
(360) 571-3110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60907414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX70240
—
CA
Enumeration date
11/15/2006
Last updated
04/19/2019
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