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Contact Information

HERITAGE HEALTH CENTER INC
20696 BOND RD NE
SUITE 110
POULSBO, WA98370
 Phone: 360-697-5500
 Fax: 360-697-5522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for HERITAGE HEALTH CENTER INC · (Female)

NPI Number 1922030444
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # AP30002493
  • WA Medicaid 9641366
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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