| Organization Name: | WESTCARE CLINIC INC PS |
| NPI Number: | 1881769552 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES BUSER (MD OWNER) |
| Mailing Address: | 3000 Limited Ln Nw Olympia |
| State: | WA US |
| Postal Code: | 985022704 |
| Phone Number: | 3603579392 |
| Fax Number: | 3605283049 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 208D00000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |