Organization
PORT TOWNSEND ORTHOPAEDICS & SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY EILEEN COX (OFFICE MANAGER)
(360) 981-3812
Entity
Organization
Contact information
Practice address
1274 7TH ST STE A, PORT TOWNSEND, WA 98368-2404
(360) 981-3812
Mailing address
PO BOX 2658, POULSBO, WA 98370-2658
(360) 981-3812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00032312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107093
—
WA
01
—
126333
WA STATE LABOR & INDUSTRY
WA
Enumeration date
03/14/2007
Last updated
08/22/2020
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