| Oak Harbor Primary Care Pllc | |
|
135 South East Ely St. Oak Harbor WA 98277-9031 | |
| (360) 682-5444 | |
| (360) 682-5639 |
| Full Name | Oak Harbor Primary Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 South East Ely St., Oak Harbor, Washington |
| Authorized Official Name and Position | Mark Richard Duncan (PARTNER) |
| Authorized Official Contact | 3609294936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Harbor Primary Care Pllc 135 Se Ely St. Oak Harbor WA 98277-9031 Ph: (360) 682-5444 | Oak Harbor Primary Care Pllc 135 South East Ely St. Oak Harbor WA 98277-9031 Ph: (360) 682-5444 |
| NPI Number | 1881021905 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Medicare PECOS PAC ID | 7517196637 |
|---|---|
| Medicare Enrollment ID | O20140212000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881021905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 201232264714 (Washington) | Primary |
| Provider Name | Dan Eugene Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548242928 PECOS PAC ID: 6800912833 Enrollment ID: I20100928000839 |
| Provider Name | David Ralph Lemme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003894007 PECOS PAC ID: 7719136811 Enrollment ID: I20121004000864 |
| Provider Name | Mark Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598713919 PECOS PAC ID: 7719123561 Enrollment ID: I20130423000330 |
| Provider Name | James W Winde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982714879 PECOS PAC ID: 0143282251 Enrollment ID: I20140701002320 |
| Provider Name | Jessica Anne Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811735707 PECOS PAC ID: 4981141447 Enrollment ID: I20240801001435 |
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