Organization
HARBOR ORTHOPEDIC AND FRACTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENA L JOHNSON (CLINIC ADMINISTRATOR)
(360) 532-3808
Entity
Organization
Contact information
Practice address
1211 SKYVIEW DR, ABERDEEN, WA 98520-1099
(360) 532-3808
(360) 533-4884
Mailing address
1211 SKYVIEW DR, ABERDEEN, WA 98520-1099
(360) 532-3808
(360) 533-4884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106056
L&I
AL
Enumeration date
11/16/2006
Last updated
08/22/2020
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