Individual
JEFFREY SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 KEY RD, PORT ANGELES, WA 98362-8925
(530) 919-3751
Mailing address
919 KEY RD, PORT ANGELES, WA 98362-8925
(530) 919-3751
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
A44625827
WA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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