Provider Demographics
NPI:1750121133
Name:VISITING DOCTORS MANAGEMENT OF WASHINGTON
Entity type:Organization
Organization Name:VISITING DOCTORS MANAGEMENT OF WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILOU
Authorized Official - Middle Name:
Authorized Official - Last Name:ORO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:832-398-6786
Mailing Address - Street 1:11200 BROADWAY ST STE 2743
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9787
Mailing Address - Country:US
Mailing Address - Phone:800-409-1920
Mailing Address - Fax:
Practice Address - Street 1:14110 NDE 21 ST. BELLEVUE
Practice Address - Street 2:MECHANIC CO. WORKING SPACE STUDIO
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007
Practice Address - Country:US
Practice Address - Phone:209-954-9839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty