# USCG AIR STATION PORT ANGELES MEDCIAL/DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gershowitz Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477538361
- **Authorized official:** STEPHEN J KINSLEY M.D. (SENIOR HEALTH SERVICES OFFICER)
- **Authorized official phone:** (360) 417-5894

## Contact information

- **Practice address:** COMMANDANT USCG HQ (CG-1122), 2100 2ND STREET, WASHINGTON, DC 20593-0001
- **Practice address phone:** (202) 267-0801
- **Mailing address:** COMMANDANT USCG HQ (CG-1122), 2100 2ND STREET, WASHINGTON, DC 20593-0001
- **Mailing address phone:** (202) 267-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 08/18/2010