Search › Washington › 363A00000X
Bruce Douglas, PA
NPI 1417978842 · on the registry since 2006 · sole proprietor
Practice
- Address
- 103 Camelia St.
Royal City, WA 99357 - Phone
- (509) 663-8711
- Clinicians at this address
- 2
Additional practice sites
- 21615 Pacific Hwy S, Des Moines, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington