Organization
PORT TOWNSEND FOOT AND ANKLE CLINIC PS
Active
Organization
PORT TOWNSEND FOOT AND ANKLE CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA L LUND DPM (PRESIDENT)
(360) 385-6486
Entity
Organization
Contact information
Practice address
204 GAINES ST, PORT TOWNSEND, WA 98368-6902
(360) 385-6486
(360) 385-6486
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO00000797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216774
LABOR & INDUSTRIES
WA
05
—
1123595
—
WA
01
—
P00371973
MEDICARE RR
WA
Enumeration date
02/08/2007
Last updated
02/19/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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