# INTEGRATIVE HEALTH SYSTEMS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monroe Street Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912096546
- **Authorized official:** J DOUWE RIENSTRA MD (OWNER / PRES)
- **Authorized official phone:** (360) 385-5658

## Contact information

- **Practice address:** 708 KEARNEY ST., PORT TOWNSEND, WA 98368
- **Practice address phone:** (360) 385-5658
- **Mailing address:** 708 KEARNEY ST., PORT TOWNSEND, WA 98368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 05/29/2013