Individual
KATHERINE RM BLOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
(360) 895-5034
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3768
(360) 895-5000
(360) 895-5034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G69357
CA
207Q00000X
Family Medicine Physician
Primary
MD61223493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G693570
—
CA
Enumeration date
10/25/2006
Last updated
03/17/2022
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