| Vintage Direct Primary Care | |
|
19319 7th Ave Ne Ste 114 Poulsbo WA 98370-7442 | |
| (360) 930-3500 | |
| (866) 480-7382 |
| Full Name | Vintage Direct Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 19319 7th Ave Ne Ste 114, Poulsbo, Washington |
| Authorized Official Name and Position | Peter Michael Lehmann (OWNER) |
| Authorized Official Contact | 3609303500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage Direct Primary Care 19319 7th Ave Ne Ste 114 Poulsbo WA 98370-7442 Ph: (360) 930-3500 | Vintage Direct Primary Care 19319 7th Ave Ne Ste 114 Poulsbo WA 98370-7442 Ph: (360) 930-3500 |
| NPI Number | 1023530573 |
|---|---|
| Provider Enumeration Date | 07/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023530573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00033623 (Washington) | Primary |
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