Individual
KATHERINE BICCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
915 SHERIDAN ST, PORT TOWNSEND, WA 98368-2931
(360) 379-8031
(360) 344-0405
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 379-8031
(360) 344-0405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61085179
WA
207Q00000X
Family Medicine Physician
TL0005710
CO
Other
Enumeration date
06/01/2015
Last updated
06/07/2021
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