Organization
STRAIT ORTHOPEDIC SPECIALISTS. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MAY MCGOVERN M.D. (PRESIDENT)
(360) 417-8630
Entity
Organization
Contact information
Practice address
832 GEORGIANA ST, PORT ANGELES, WA 98362-3512
(360) 457-0804
(360) 457-7023
Mailing address
832 GEORGIANA ST, PORT ANGELES, WA 98362-3512
(360) 457-0804
(360) 457-7023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00038187
WA
207XS0106X
Orthopaedic Hand Surgery Physician
MD00038187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147288
DEPT. OF LABOR & INDUSTRI
WA
05
—
7105810
—
WA
01
—
CH7730
RAILROAD MEDICARE
WA
Enumeration date
05/19/2006
Last updated
04/20/2016
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