Individual
DR. SAMUEL M. ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
933 RED APPLE RD STE B, WENATCHEE, WA 98801-3370
(509) 665-6212
(509) 667-3310
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00044552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740286681
—
WA
01
—
339202
WVH LNI
WA
01
—
P01409877
RR MEDICARE WVH
WA
Enumeration date
06/24/2005
Last updated
07/14/2015
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