Organization
HERITAGE HEALTH CENTER INC
Active
Other names
Betty A Bennett
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY ANN BENNETT ARNP (OWNER)
(360) 697-5500
Entity
Organization
Contact information
Practice address
20696 BOND RD NE, SUITE 110, POULSBO, WA 98370
(360) 697-5500
(360) 697-5522
Mailing address
20696 BOND RD NE, SUITE 110, POULSBO, WA 98370
(360) 697-5500
(360) 697-5522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AP30002493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641366
—
WA
Enumeration date
07/07/2006
Last updated
08/22/2020
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