Organization
ST LAWRENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KIMBER ROTCHFORD M.D. (PRESIDENT)
(360) 385-4843
Entity
Organization
Contact information
Practice address
5717 HILL STREET, PORT TOWNSEND, WA 98368
(360) 385-4843
(360) 379-1441
Mailing address
2023 E SIMS WAY, #282, PORT TOWNSEND, WA 98368
(360) 385-4843
(360) 379-1441
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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