Dirk A. Gouge, D.O.

LBN: Dirk A. Gouge, D.O.
Dirk A. Gouge, D.O. is an health care organization with primary practice located at 1004 Caroline St , Port Angeles WA 98362-3902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Dirk A. Gouge, D.O. can be contacted via phone (360) 457-1500, or through Kiesser, Debra via phone (360) 457-1500.

Contact Information

Primary practice address
1004 Caroline St Port Angeles WA 98362-3902
Phone: (360) 457-1500
Fax: (360) 457-1599
Website:
Map and Directions
Authorized official contact:
Name: Kiesser, Debra
Phone: (360) 457-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OP00001549 Washington

Profile Details

NPI number 1023291812
LBN Legal business name Dirk A. Gouge, D.O.
DBA Doing business as
Authorized official Kiesser, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023291812 NPPES
Washington MEDICAID 7116429

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