Provider Demographics
NPI:1225702673
Name:DIRECT CARE CLINICS US PC
Entity Type:Organization
Organization Name:DIRECT CARE CLINICS US PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINO
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:RAMZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:360-999-5138
Mailing Address - Street 1:2370 E 3RD LOOP STE 203
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-7725
Mailing Address - Country:US
Mailing Address - Phone:360-999-5138
Mailing Address - Fax:
Practice Address - Street 1:209 E MAIN ST STE 121
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4412
Practice Address - Country:US
Practice Address - Phone:360-999-5138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty