Organization
NORTH KITSAP AMBULATORY SURGERY CENTER, LLC
Active
Other names
Pacific Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE FOWLER (CHIEF ADMINISTRATIVE OFFICER)
(360) 779-6527
Entity
Organization
Contact information
Practice address
20669 BOND RD NE, SUITE 200, POULSBO, WA 98370-6525
(360) 779-6527
(360) 697-2743
Mailing address
20669 BOND RD NE, SUITE 200, POULSBO, WA 98370-6525
(360) 779-6527
(360) 697-2743
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
600558138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009293
—
WA
Enumeration date
07/26/2005
Last updated
12/28/2021
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