Organization Name: | THE DOCTORS CLINIC A PROFESSIONAL CORPORATION |
NPI Number: | 1114124435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA A. BROWN (CEO) |
Mailing Address: | 945 Hildebrand Ln Ne Bainbridge Island |
State: | WA US |
Postal Code: | 981102877 |
Phone Number: | 2068557700 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |