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708 Kearney St. Port Townsend WA 98368 | |
(360) 385-5658 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 708 Kearney St., Port Townsend, Washington |
Authorized Official Name and Position | J Douwe Rienstra (OWNER / PRES) |
Authorized Official Contact | 3603855658 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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708 Kearney St. Port Townsend WA 98368 Ph: () - | 708 Kearney St. Port Townsend WA 98368 Ph: (360) 385-5658 |
NPI Number | 1912096546 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 05/29/2013 |
Identifier | Type | State | Issuer |
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1912096546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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