Individual
JUSTIN M MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
9220 RIDGETOP BLVD NW, SUITE 110, SILVERDALE, WA 98383-8556
(360) 698-2229
(360) 698-0122
Mailing address
PO BOX 1546, GRAHAM, WA 98338-1546
(360) 447-0770
(253) 875-7768
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000326
WA
224P00000X
Prosthetist
Primary
PS00000183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8371569
—
WA
Enumeration date
08/01/2007
Last updated
01/22/2015
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