Organization
FAMILY MEDICINE OF PORT ANGELES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE RINGIUS (ADMINISTRATOR)
(360) 452-7891
Entity
Organization
Contact information
Practice address
920 CAROLINE ST, PORT ANGELES, WA 98362-3910
(360) 452-7891
(360) 782-7891
Mailing address
303 W 8TH ST, PORT ANGELES, WA 98362-5904
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082563
—
WA
05
—
7112188
—
WA
Enumeration date
09/07/2007
Last updated
11/28/2007
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