| |
1812 N 13th Loop Rd Shelton WA 98584-2169 | |
(360) 426-3862 | |
(360) 427-1743 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1812 N 13th Loop Rd, Shelton, Washington |
Authorized Official Name and Position | George Robert Appel (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3604279556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1812 N 13th Loop Rd Shelton WA 98584-2169 Ph: (360) 426-3862 | 1812 N 13th Loop Rd Shelton WA 98584-2169 Ph: (360) 426-3862 |
NPI Number | 1700111986 |
---|---|
Provider Enumeration Date | 10/06/2009 |
Last Update Date | 07/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700111986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP00001087 (Washington) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Olympic Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 Fax: 360-462-2500 | |
Northwest Indian Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Se Whitener Rd, Shelton, WA 98584 Phone: 360-470-1474 |