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
1112 CAROLINE ST, PORT ANGELES, WA 98362-4204
(360) 417-8630
(360) 417-8635
Mailing address
1112 CAROLINE ST, PORT ANGELES, WA 98362-4204
(360) 417-8630
(360) 417-8635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003652
WA
225XH1200X
Hand Occupational Therapist
OT00003652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147288
DEPT. OF LABOR & INDUSTRI
WA
05
—
7682677
—
WA
01
—
CH7730
RAILROAD MEDICARE
WA
Enumeration date
12/15/2006
Last updated
05/12/2008
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