Organization
NAVAL MEDICAL CENTER PORTSMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWIN OLSON (OCCUPATIONAL THERAPIST)
(757) 518-9899
Entity
Organization
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 518-9899
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 518-9899
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2719
NC
Other
Enumeration date
12/05/2006
Last updated
08/13/2008
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