Organization
SEAN R WHITE MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN RAE WHITE MD (OWNER)
(360) 637-9522
Entity
Organization
Contact information
Practice address
1812 SUMNER AVE STE C, ABERDEEN, WA 98520-4602
(360) 637-9522
(360) 637-9686
Mailing address
PO BOX 711, MONTESANO, WA 98563-0711
(360) 637-9522
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD60082203
WA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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