Provider Demographics
NPI:1639523723
Name:PATIENT DIRECT CARE
Entity Type:Organization
Organization Name:PATIENT DIRECT CARE
Other - Org Name:DIRECT CARE CLINICS US
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINO
Authorized Official - Middle Name:W
Authorized Official - Last Name:RAMZI
Authorized Official - Suffix:
Authorized Official - Credentials:MDCM, MPH
Authorized Official - Phone:360-977-2688
Mailing Address - Street 1:209 E MAIN ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4523
Mailing Address - Country:US
Mailing Address - Phone:370-999-5138
Mailing Address - Fax:
Practice Address - Street 1:209 E MAIN ST
Practice Address - Street 2:SUITE 121
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4523
Practice Address - Country:US
Practice Address - Phone:370-999-5138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00049099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty