Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BRAZIER (ADMINISTRATIVE SERVICES DIRECTOR)
(360) 475-6715
Entity
Organization
Contact information
Practice address
1338 SW OLD CLIFTON RD STE F, PORT ORCHARD, WA 98367-9113
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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