Individual
CURT G POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2500 CHERRY AVE STE 102, BREMERTON, WA 98310-4202
(360) 478-2087
(360) 405-6303
Mailing address
2500 CHERRY AVE STE 102, BREMERTON, WA 98310-4202
(360) 478-2087
(360) 405-6303
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000218
WA
224P00000X
Prosthetist
Primary
PS00000217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8371627
—
WA
Enumeration date
08/01/2007
Last updated
08/01/2007
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