Organization
PORT TOWNSEND SURGICAL ASSOC
Active
Parent organization
PORT TOWNSEND SURGICAL ASSOCIATES
Other names
Madrona Surgical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORT TOWNSEND SURGICAL ASSOCIATES
Authorized official
DR. JAY A LAWRENCE DO FACOS (PRESIDENT)
(360) 385-5444
Entity
Organization
Contact information
Practice address
1010 SHERIDAN STREET, SUITE 201, PORT TOWNSEND, WA 98368
(360) 385-5444
(360) 385-5352
Mailing address
1010 SHERIDAN STREET, SUITE 201, PORT TOWNSEND, WA 98368
(360) 385-5444
(360) 385-5352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107127
—
WA
05
—
7107303
—
WA
Enumeration date
11/13/2006
Last updated
07/08/2008
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