Individual
J CHARLES SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 N 5TH AVE STE 101, SEQUIM, WA 98382-3045
(360) 565-0999
(360) 582-4221
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-9237
(360) 582-4221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60443330
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
PA01628
TX
Enumeration date
09/28/2006
Last updated
07/21/2022
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