Provider Demographics
NPI:1588832257
Name:DUFFY PHYSICIANS, P.S.
Entity Type:Organization
Organization Name:DUFFY PHYSICIANS, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:OKSENDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-244-8100
Mailing Address - Street 1:12101 AMBAUM BLVD SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-2651
Mailing Address - Country:US
Mailing Address - Phone:206-244-8100
Mailing Address - Fax:206-431-9142
Practice Address - Street 1:12101 AMBAUM BLVD SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-2651
Practice Address - Country:US
Practice Address - Phone:206-244-8100
Practice Address - Fax:206-431-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital