| Organization Name: | ORCAS ISLAND FAMILY MEDICINE, PC |
| NPI Number: | 1194778498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID LEE RUSSELL (OWNER) |
| Mailing Address: | 33 Urner Street Suite 5 Eastsound |
| State: | WA US |
| Postal Code: | 98245 |
| Phone Number: | 3603764949 |
| Fax Number: | 3603765093 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 05/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |