Individual
DR. FREDERICK HUDSON DORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2620 WHEATON WAY, STE 1, BREMERTON, WA 98310-3335
(360) 377-3923
(360) 373-4988
Mailing address
2620 WHEATON WAY, BREMERTON, WA 98310-3319
(360) 377-3923
(360) 373-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00023228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093038
—
WA
Enumeration date
11/10/2005
Last updated
04/21/2021
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