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Individual

MIGUEL DORTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4605 ROAD 68, PASCO, WA 99301-9366
(509) 567-6450
Mailing address
4605 ROAD 68, PASCO, WA 99301-9366
(509) 567-6450

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MDCE.ML.70116274
WA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
261QP2300X
Primary Care Clinic/Center
Primary
MDCE.ML.70116274
WA

Other

Enumeration date
08/08/2022
Last updated
08/05/2026
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