Organization
LIBERTY ORTHOPEDICS PS
Active
Organization
LIBERTY ORTHOPEDICS PS
Active
Other names
Liberty Knee Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REID WEST MD (PRESIDENT/PROVIDER)
(360) 801-7966
Entity
Organization
Contact information
Practice address
20696 BOND RD NE STE 205, POULSBO, WA 98370-9025
(360) 930-0222
(360) 210-1429
Mailing address
20696 BOND RD NE STE 205, POULSBO, WA 98370-9025
(360) 930-0222
(360) 210-1429
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2169137
—
WA
Enumeration date
11/09/2020
Last updated
01/19/2021
Update your record
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