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830 Se Ireland St Oak Harbor WA 98277-5502 | |
(360) 675-7678 | |
(360) 279-0614 |
Full Name | |
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Speciality | Internal Medicine |
Location | 830 Se Ireland St, Oak Harbor, Washington |
Authorized Official Name and Position | Tracy Nimmerrichter-burges (PHYSICIAN/OWNER) |
Authorized Official Contact | 3606757678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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830 Se Ireland St Oak Harbor WA 98277-5502 Ph: (360) 675-7678 | 830 Se Ireland St Oak Harbor WA 98277-5502 Ph: (360) 675-7678 |
NPI Number | 1538115514 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 09/26/2008 |
Identifier | Type | State | Issuer |
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1538115514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00031197 (Washington) | Primary |
Whidbey Island Public Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B101, Oak Harbor, WA 98277 Phone: 360-679-4121 Fax: 360-675-3091 | |
New Beginnings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 682 Sw Fairhaven Dr, Oak Harbor, WA 98277 Phone: 036-094-1145 | |