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Contact Information

HENRY L DEGIVE MD MC PS
3525 ENSIGN RD
SUITE K
OLYMPIA, WA98506
 Phone: 360-456-1600
 Fax: 360-456-3827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HENRY L DEGIVE MD MC PS · (Female)

NPI Number 1457422073
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00017990
  • WA Medicaid 1584606
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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