Organization
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Active
Parent organization
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other names
Jefferson Healthcare Walk in Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Authorized official
MS. KATHY LEE PORTER CHAM (REGISTRATION COORDINATOR)
(360) 385-2200
Entity
Organization
Contact information
Practice address
1274 7TH ST STE A, PORT TOWNSEND, WA 98368-2404
(360) 379-0477
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 379-2282
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
HAC.FS.00000085
WA
363LF0000X
Family Nurse Practitioner
HAC.FS.00000085
WA
Other
Enumeration date
09/10/2010
Last updated
12/09/2010
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