Individual
KEITH J URE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1004 CAROLINE ST, PORT ANGELES, WA 98362-3902
(360) 457-1500
(360) 157-1599
Mailing address
1004 CAROLINE ST, PORT ANGELES, WA 98362-3902
(360) 457-1500
(360) 457-1599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C41937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C419370
—
CA
Enumeration date
08/03/2005
Last updated
09/10/2013
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