# J STEPHEN BELL DO PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnny S. Bell DO PS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063730430
- **Authorized official:** CAROL S HAM (OFFICE MANAGER)
- **Authorized official phone:** (360) 642-2662

## Contact information

- **Practice address:** 117 SPRUCE ST, ILWACO, WA 98624-0000
- **Practice address phone:** (360) 642-2662
- **Practice address fax:** (360) 642-2663
- **Mailing address:** PO BOX 299, ILWACO, WA 98624-0299
- **Mailing address phone:** (360) 642-2662
- **Mailing address fax:** (360) 642-2663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OP00001380 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 08/12/2010
