SearchWashington103TA0400X

Ozark Gore

NPI 1750916086 · on the registry since 2020 · sole proprietor

Practice

Address
4804 Lacey Blvd Se Ste A
Lacey, WA 98503
Phone
(360) 799-5782
Organisation at this address
Paramount Wellness Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
103TA0400X
103TA0400X
Sex
Male
Record last updated
2020-03-06

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