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Organization

NOEUD DE PAPILLON LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES KIMBER ROTCHFORD MD,MPH, FAAMA (OWNER/PHYSICIAN)
(360) 385-4843
Entity
Organization

Contact information

Practice address
1334 LAWRENCE ST, PORT TOWNSEND, WA 98368-6529
(360) 385-4843
Mailing address
1334 LAWRENCE ST, PORT TOWNSEND, WA 98368-6529
(360) 385-4843

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD00019338
WA
208VP0000X
Pain Medicine Physician
MD00019338
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1797406
WA
Enumeration date
07/22/2009
Last updated
08/20/2009
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