| Kitsap Sexual Assault Center | |
|
600 Kitsap St Ste 103 Port Orchard WA 98366-5341 | |
| (360) 479-1788 | |
| (360) 895-8696 |
| Full Name | Kitsap Sexual Assault Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Kitsap St Ste 103, Port Orchard, Washington |
| Authorized Official Name and Position | Christine Louise Larae (MEDICAL BILLER) |
| Authorized Official Contact | 3604791788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Sexual Assault Center 600 Kitsap St Ste 103 Port Orchard WA 98366-5341 Ph: (360) 479-1788 | Kitsap Sexual Assault Center 600 Kitsap St Ste 103 Port Orchard WA 98366-5341 Ph: (360) 479-1788 |
| NPI Number | 1265976419 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265976419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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