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Organization

THE DOCTORS CLINIC A PROFESSIONAL CORPORATION

Active
Other names
THE DOCTORS CLINIC CAVALON PLACE
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA A. BROWN (CEO)
(360) 782-3600
Entity
Organization

Contact information

Practice address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1600
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
612201101
OWCP
05
7145543
WA
Enumeration date
10/09/2008
Last updated
11/24/2014
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