Organization
JEFFERSON COUNTY HEALTH SERVICES DISTRICT NO 2
Active
Other names
Dr. Lynn's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L PORTER (REGISTRATION COORDINATOR)
(360) 385-2200
Entity
Organization
Contact information
Practice address
1136 WATER ST STE 107, PORT TOWNSEND, WA 98368-6728
(360) 385-5330
Mailing address
PO BOX 912, PORT TOWNSEND, WA 98368-0001
(360) 385-5330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00014083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079144
—
WA
Enumeration date
06/18/2007
Last updated
11/01/2010
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