Organization
FAMILY MEDICINE OF PORT ANGELES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN J PAULSEN (MANAGER)
(360) 452-7891
Entity
Organization
Contact information
Practice address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
601842789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082563
—
WA
05
—
7112188
—
WA
Enumeration date
08/21/2006
Last updated
07/09/2012
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