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500 W Fir St Suite C Sequim WA 98382-3201 | |
(360) 504-3601 | |
(360) 504-3602 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 500 W Fir St, Sequim, Washington |
Authorized Official Name and Position | Debbie Fountain (CLINIC OPERATIONS MANAGER) |
Authorized Official Contact | 3603448166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 W Fir St Suite C Sequim WA 98382-3201 Ph: (360) 504-3601 | 500 W Fir St Suite C Sequim WA 98382-3201 Ph: (360) 504-3601 |
NPI Number | 1295271427 |
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Provider Enumeration Date | 01/11/2017 |
Last Update Date | 01/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295271427 | NPI | - | NPPES |
2045741 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Washington) | Primary |
Kathi Gunn Arnp Fnp-bc Pbp, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 Eureka Way Ste 1, Sequim, WA 98382 Phone: 360-808-7533 | |