Organization
STRAIT ORTHOPEDIC SPECIALISTS, PS
Active
Parent organization
STRAIT ORTHOPEDIC SPECIALISTS, PS
Other names
McGovern Therapy Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
STRAIT ORTHOPEDIC SPECIALISTS, PS
Authorized official
REGINA MAY MCGOVERN M.D. (PRESIDENT)
(360) 417-8630
Entity
Organization
Contact information
Practice address
520 N 5TH AVE, SEQUIM, WA 98382-3079
(360) 417-8630
(360) 417-8635
Mailing address
1112 CAROLINE ST, PORT ANGELES, WA 98362-4204
(360) 417-8630
(360) 417-8635
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD00038097
WA
225X00000X
Occupational Therapist
OT00003652
WA
363AM0700X
Medical Physician Assistant
Primary
PA10005046
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147288
DEPT. OF LABOR & INDUSTRI
WA
05
—
7105810
—
WA
05
—
7682677
—
WA
01
—
CH7730
RAILROAD MEDICARE
WA
Enumeration date
04/09/2008
Last updated
04/09/2008
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