| Cammacks Clinical Services | |
|
424 E 2nd St Ste A Port Angeles WA 98362-3119 | |
| (360) 504-3961 | |
| (360) 452-4288 |
| Full Name | Cammacks Clinical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 424 E 2nd St Ste A, Port Angeles, Washington |
| Authorized Official Name and Position | Joseph G Cammack (OWNER) |
| Authorized Official Contact | 3604524200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cammacks Clinical Services 424 E 2nd St Ste A Port Angeles WA 98362-3119 Ph: (360) 504-3961 | Cammacks Clinical Services 424 E 2nd St Ste A Port Angeles WA 98362-3119 Ph: (360) 504-3961 |
| NPI Number | 1255950432 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/09/2020 |
| Medicare PECOS PAC ID | 2163312190 |
|---|---|
| Medicare Enrollment ID | O20200501001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255950432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jan K Rystrom |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679714281 PECOS PAC ID: 7810033420 Enrollment ID: I20091013000592 |
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