Organization
NORTH-STAR CARE OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L WILSON MD (CEO AND CO-FOUNDER)
(413) 221-6113
Entity
Organization
Contact information
Practice address
4016 52ND AVENUE CT NW, GIG HARBOR, WA 98335
(413) 221-6113
Mailing address
4810 POINT FOSDICK DR STE 92, GIG HARBOR, WA 98335-1711
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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