Individual
DR. SCOTT A BILDSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
451 SW SEDGWICK RD STE 220, PORT ORCHARD, WA 98367-6447
(360) 874-7300
(360) 874-7319
Mailing address
451 SW SEDGWICK RD STE 220, PORT ORCHARD, WA 98367-6447
(360) 874-7300
(360) 874-7319
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OP00001711
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264427
STATE L&I
WA
01
—
0264446
STATE L&I
WA
01
—
0264450
STATE L&I
WA
01
—
0291738
STATE L&I
WA
Enumeration date
09/04/2006
Last updated
05/30/2012
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