| Kitsap Brain Injury | |
|
2504 Ne Sheridan Rd Bremerton WA 98310-5231 | |
| (360) 362-3076 | |
| Not Available |
| Full Name | Kitsap Brain Injury |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2504 Ne Sheridan Rd, Bremerton, Washington |
| Authorized Official Name and Position | William Galen Hortenstine (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3603623076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Brain Injury 2504 Ne Sheridan Rd Bremerton WA 98310-5231 Ph: (360) 362-3076 | Kitsap Brain Injury 2504 Ne Sheridan Rd Bremerton WA 98310-5231 Ph: (360) 362-3076 |
| NPI Number | 1093573834 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093573834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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