Beach Clinic INC P S

NPI #1770787335 in Westport, Washington

Provider Information

NPI Number: 1770787335
Entity Type: Organization
Organization Name: Beach Clinic INC P S
Primary Specialty: Family Medicine
Enumeration Date: Jun 14, 2007
Last Updated: Dec 7, 2010

Practice Location

Address: 801 N. MONTESANO
City: Westport
State: Washington
ZIP Code: 98595
Phone: (360) 268-0195

Authorized Official

Name: SHELLY J DUEBER, D.O.
Title: PHYSICIAN
Phone: (360) 268-0195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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