Organization
BAINBRIDGE PEDIATRICS, PLLC
Active
Other names
CWW PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M. OTTMER (PRACTICE MANAGER)
(206) 780-5437
Entity
Organization
Contact information
Practice address
1298 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110
(206) 780-5437
(206) 780-5438
Mailing address
1298 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110
(206) 780-5437
(206) 780-5438
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
602636742
WA
Other
Enumeration date
03/14/2007
Last updated
01/16/2018
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