Doctor Name: | DR. PIERRE JOHN SOFFE |
NPI Number: | 1073683454 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD00037953 |
Business Practice Address: | 850 Maple Street Medical Lake, WA - 990220800 |
Business Phone Number: | 5095654000 |
Business Fax Number: | 5095657015 |
Mailing Address: | Po Box 800, 850 Maple Street MEDICAL LAKE |
State: | WA |
Postal Code: | 990220800 |
Phone Number: | 5095654000 |
Fax Number: | 5095657015 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | MD00037953 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |