Organization
PACIFIC PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASMA A WEBER MD (OWNER)
(360) 582-1176
Entity
Organization
Contact information
Practice address
530 W FIR ST, SUITE C, SEQUIM, WA 98382-3284
(360) 582-1176
(888) 316-0903
Mailing address
530 W FIR ST, SUITE C, SEQUIM, WA 98382-3284
(360) 582-1176
(888) 316-0903
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
602172797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159038
LABOR AND INDUSTRIES
WA
05
—
7121056
—
WA
01
—
DA5471
RAIL ROAD MEDICARE
WA
Enumeration date
02/23/2007
Last updated
08/28/2014
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