Organization
OLYMPIC PENINSULA KIDNEY CENTER
Active
Organization
OLYMPIC PENINSULA KIDNEY CENTER
Active
Other names
Olympic Peninsula Kidney Center Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA ARDEL RUSSELL RN, CNN (ADMINISTRATOR)
(206) 915-9502
Entity
Organization
Contact information
Practice address
2500 W SIMS WAY, SUITE 102, PORT TOWNSEND, WA 98368-2234
(360) 479-5908
(360) 479-5787
Mailing address
2500 W SIMS WAY, SUITE 102, PORT TOWNSEND, WA 98368-2234
(360) 479-5908
(360) 479-5787
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
04/05/2011
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