DOUGLAS D DUNHAM

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

Dr DOUGLAS D DUNHAM is a male medical professional, specializing in Family Medicine. He graduated in 1999 from University Of Washington School Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

1111 S 2ND AVE
WALLA WALL
WA
993624118

Tel: 5098975174

DOUGLAS D DUNHAM Information

Npi 1740204411
Pac Id 6608939376
Professional Enrollment Id I20090107000462
Last Name DUNHAM
First Name DOUGLAS
Middle Name D
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Group Practice Pac Id 2860552973
Number Of Group Practice Members 146
Line 1 Street Address 1111 S 2ND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALLA WALL
State WA
Zip Code 993624118
Phone Number 5098975174
Hospital Affiliation Ccn 1 500002
Hospital Affiliation Lbn 1 PROVIDENCE ST MARY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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