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Organization

PAN PACIFIC HEALTH PPLC

Active
Other names
Pan Pacific Health
Organization subpart
No

Provider details

NPI number
Authorized official
LIISA ELINA DURCHMAN MD (EXECUTIVE DIRECTOR)
(206) 484-7701
Entity
Organization

Contact information

Practice address
10634 E RIVERSIDE DR, BOTHELL, WA 98011-3757
(206) 484-7701
Mailing address
509 3RD ST, MUKILTEO, WA 98275-1551
(206) 484-7701

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/15/2019
Last updated
11/06/2020
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