Vintage Direct Primary Care | |
25985 Barbr Cutff Rd Ne Ste B1 Kingston WA 98346-9596 | |
(360) 860-3020 | |
Not Available |
Full Name | Vintage Direct Primary Care |
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Speciality | Family Medicine |
Location | 25985 Barbr Cutff Rd Ne Ste B1, Kingston, Washington |
Authorized Official Name and Position | Peter Michael Lehmann (OWNER) |
Authorized Official Contact | 3608603020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vintage Direct Primary Care 19319 7th Ave Ne Ste 114 Poulsbo WA 98370-7442 Ph: (360) 930-3500 | Vintage Direct Primary Care 25985 Barbr Cutff Rd Ne Ste B1 Kingston WA 98346-9596 Ph: (360) 860-3020 |
NPI Number | 1912423468 |
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Provider Enumeration Date | 08/16/2017 |
Last Update Date | 08/16/2017 |
Identifier | Type | State | Issuer |
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1912423468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00033623 (Washington) | Primary |
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