Organization
STRAIT ORTHOPEDIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MAY MCGOVERN M.D. (PRESIDENT)
(360) 417-8630
Entity
Organization
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 344-3090
(360) 344-3089
Mailing address
1112 CAROLINE ST, PORT ANGELES, WA 98362-4204
(360) 417-8630
(360) 417-8635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00038097
WA
225X00000X
Occupational Therapist
OT00003756
WA
225XH1200X
Hand Occupational Therapist
OT00003756
WA
363A00000X
Physician Assistant
PA10004257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147288
DEPT. OF LABOR & INDUSTRI
WA
05
—
7105810
—
WA
05
—
7682677
—
WA
Enumeration date
12/15/2006
Last updated
09/20/2011
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