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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