# WASHINGTON ORTHOPAEDIC CENTER, INC, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134218167
- **Authorized official:** KURT KENTFIELD (ADMINISTRATOR)
- **Authorized official phone:** (360) 736-2889

## Contact information

- **Practice address:** 1900 COOKS HILL RD, CENTRALIA, WA 98531
- **Practice address phone:** (360) 736-2889
- **Practice address fax:** (360) 736-9777
- **Mailing address:** 1900 COOKS HILL RD, CENTRALIA, WA 98531
- **Mailing address phone:** (360) 736-2889
- **Mailing address fax:** (360) 736-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 600111876 | WA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 06/02/2014