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Contact Information

IFESINACHI S OGUAKWA, MD
450 SO KITSAP BLVD
SUITE 100
PORT ORCHARD, WA98366
 Phone: 360-744-6275
 Fax: 360-744-6270
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for IFESINACHI S OGUAKWA · (Female)

NPI Number 1063501534
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 05/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # R-7799
  • WA License # MD60138693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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