Individual
MR. CHARLES WESLEY SCHOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9481 OAK BAY RD, SUITE A, PORT LUDLOW, WA 98365-9794
(360) 437-5067
(360) 437-4158
Mailing address
9481 OAK BAY RD, SUITE A, PORT LUDLOW, WA 98365-9794
(360) 437-5067
(360) 437-4158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60216750
WA
Other
Enumeration date
09/25/2007
Last updated
07/29/2011
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