Healthcare Provider Details

I. General information

NPI: 1811929227
Provider Name (Legal Business Name): ORCAS MEDICAL CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DEYE LN
EASTSOUND WA
98245-8578
US

IV. Provider business mailing address

7 DEYE LN P. O. BOX 1269
EASTSOUND WA
98245-1269
US

V. Phone/Fax

Practice location:
  • Phone: 360-376-2561
  • Fax: 360-376-5183
Mailing address:
  • Phone: 360-376-2561
  • Fax: 360-376-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateWA

VIII. Authorized Official

Name: DR. ANTHONY GIEFER
Title or Position: MEMBER
Credential: MD, MPH
Phone: 360-376-2561