Daniel T. Dugaw,D.O., P.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00000759 Issued in WA

Legal business name

DANIEL T. DUGAW,D.O., P.S.

Practice address

405 Black Hills LN SW
Suite E
Olympia, WA 98502-8661

Phone

(360) 352-8781

Fax

(360) 352-8837

NPI assigned

Feb 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel T. Dugaw, D.O.

Title

Owner

Phone

(360) 352-8781

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1083853253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BLACK HILLS LN SW",
            "address_2": "SUITE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028661",
            "telephone_number": "360-352-8781",
            "fax_number": "360-352-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BLACK HILLS LN SW",
            "address_2": "SUITE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028661",
            "telephone_number": "360-352-8781",
            "fax_number": "360-352-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T. DUGAW,D.O., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "DUGAW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-352-8781",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00000759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235803",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "35974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marilyn Jill Daniel, SLP
• Danielle D Jenkins PLLC
• Joseph Darbro, MSW, LICSW
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• Kathleen Darger

• Family Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.