Individual
MS. DORE ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9301 LINDER WAY NW STE 210, SILVERDALE, WA 98383-8396
(360) 531-1014
Mailing address
1281 NE STEEPLE ROCK LN APT HH202, BREMERTON, WA 98311-6819
(360) 692-3870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
503873-05
NCTMB NUMBER
WA
01
—
MA00022354
BUSINESS LICENCE
WA
Enumeration date
01/03/2007
Last updated
07/08/2007
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