Individual
SIMONE A INCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19917 7TH AVE NE, STE 203, POULSBO, WA 98370-6555
(360) 824-5474
(360) 326-2451
Mailing address
19917 7TH AVE NE, STE 203, POULSBO, WA 98370-6555
(360) 824-5474
(360) 326-2451
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35784
CO
207N00000X
Dermatology Physician
Primary
MD00031070
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009245
KAISER-COMMERCIAL NUMBER
—
01
—
0274668
LABOR AND INDUSTRY
WA
05
—
10434542
—
CO
01
—
8884948
MEDICARE PTAN - KING CO
WA
01
—
G8950100
WEST SOUND DERM PTAN
WA
01
—
MD00116
AK DSHS
WA
Enumeration date
02/27/2007
Last updated
04/28/2016
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