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Individual

DR. DOUGLAS KURATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19045 HWY 305, SUITE 180, POULSBO, WA 98370
(360) 779-1963
Mailing address
71 WOODMAN RD, PORT TOWNSEND, WA 98368
(907) 442-7148

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00018683
WA
207Q00000X
Family Medicine Physician
5713
AK
207Q00000X
Family Medicine Physician
Primary
MD00018683
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1745405
WA
01
8866427
MEDICARE PIN
WA
01
8866428
MEDICARE PIN
WA
05
MD5135
AK
Enumeration date
06/21/2006
Last updated
08/01/2008
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