Provider Demographics
NPI:1053531780
Name:DOCTORS OSTEOPATHIC CARE
Entity type:Organization
Organization Name:DOCTORS OSTEOPATHIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:DEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHETSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:425-353-6755
Mailing Address - Street 1:9629 EVERGREEN WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7169
Mailing Address - Country:US
Mailing Address - Phone:425-353-6755
Mailing Address - Fax:
Practice Address - Street 1:9629 EVERGREEN WAY STE 102
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7169
Practice Address - Country:US
Practice Address - Phone:425-353-6755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001171261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG0012001113Medicare UPIN