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451 Sw Sedgwick Rd Ste 110 Port Orchard WA 98367 | |
(360) 874-5900 | |
(360) 874-5959 |
Full Name | |
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Speciality | Family Medicine |
Location | 451 Sw Sedgwick Rd, Port Orchard, Washington |
Authorized Official Name and Position | Dean Field (CMO) |
Authorized Official Contact | 2538589192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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451 Sw Sedgwick Rd Ste 110 Port Orchard WA 98367 Ph: (360) 874-5900 | 451 Sw Sedgwick Rd Ste 110 Port Orchard WA 98367 Ph: (360) 874-5900 |
NPI Number | 1558478818 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 03/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558478818 | NPI | - | NPPES |
7132459 | Medicaid | WA | |
0207870 | Other | WA | STATE L&I |
8928223 | Other | WA | STATE CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP00001963 (Washington) | Primary |
Peninsula Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2150 Fircrest Dr Se Rm G-1, Port Orchard, WA 98366 Phone: 360-377-3776 | |
Eppel Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1950 Pottery Ave, Ste 140, Port Orchard, WA 98366 Phone: 360-876-5440 Fax: 360-876-0718 | |
Peninsula Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Sw Old Clifton Rd Ste E, Port Orchard, WA 98367 Phone: 360-377-3776 |