Individual
DR. DORIS A PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 S UNION AVE, SUITE B-1, TACOMA, WA 98405-1907
(253) 572-9923
(253) 572-8224
Mailing address
1310 S UNION AVE, SUITE B-1, TACOMA, WA 98405-1907
(253) 572-9923
(253) 572-8224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010018581
RR MEDICARE PTAN
WA
01
—
1021664
PROVIDER ONE
WA
05
—
7139744
—
WA
01
—
GAB18185
MEDICARE PTAN
WA
Enumeration date
09/25/2006
Last updated
12/16/2010
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