| Sumas Clinic, Inc. P.s. | |
| 112 Columbia St. Sumas WA 98295-1010 | |
| (360) 988-9404 | |
| (360) 988-9409 | 
| Full Name | Sumas Clinic, Inc. P.s. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 112 Columbia St., Sumas, Washington | 
| Authorized Official Name and Position | Rodney Lee Brian Thompson (PHYSICIAN/PRESIDENT) | 
| Authorized Official Contact | 3609889404 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sumas Clinic, Inc. P.s. Po Box 1010 112 Columbia St. Sumas WA 98295-1010 Ph: (360) 988-9404 | Sumas Clinic, Inc. P.s. 112 Columbia St. Sumas WA 98295-1010 Ph: (360) 988-9404 | 
| NPI Number | 1508056052 | 
|---|---|
| Provider Enumeration Date | 07/31/2007 | 
| Last Update Date | 07/06/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508056052 | NPI | - | NPPES | 
| 7127285 | Medicaid | WA | |
| 8294498 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00039892 (Washington) | Primary |