# BAINBRIDGE PEDIATRICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CWW PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851424931
- **Authorized official:** JENNIFER M. OTTMER (PRACTICE MANAGER)
- **Authorized official phone:** (206) 780-5437

## Contact information

- **Practice address:** 1298 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110
- **Practice address phone:** (206) 780-5437
- **Practice address fax:** (206) 780-5438
- **Mailing address:** 1298 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110
- **Mailing address phone:** (206) 780-5437
- **Mailing address fax:** (206) 780-5438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 602636742 | WA | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 01/16/2018