Organization
OSTEOPATHIC MEDICAL SERVICES INC P.S.
Active
Other names
Country Doctor Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE E ALSAGER D.O., PH.D. (OWNER/PRESIDENT)
(425) 432-4554
Entity
Organization
Contact information
Practice address
22520 SE 218TH ST, MAPLE VALLEY, WA 98038-8001
(425) 432-4554
(425) 432-4334
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP00001485
WA
207Q00000X
Family Medicine Physician
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G217000642
MEDICARE
WA
Enumeration date
04/11/2008
Last updated
12/17/2009
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