| Noeud De Papillon Ltd | |
|
1334 Lawrence St Port Townsend WA 98368-6529 | |
| (360) 385-4843 | |
| Not Available |
| Full Name | Noeud De Papillon Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 1334 Lawrence St, Port Townsend, Washington |
| Authorized Official Name and Position | James Kimber Rotchford (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3603854843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noeud De Papillon Ltd 1334 Lawrence St Port Townsend WA 98368-6529 Ph: (360) 385-4843 | Noeud De Papillon Ltd 1334 Lawrence St Port Townsend WA 98368-6529 Ph: (360) 385-4843 |
| NPI Number | 1568692705 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568692705 | NPI | - | NPPES |
| 1797406 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | MD00019338 (Washington) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | MD00019338 (Washington) | Secondary |
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