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NPI Code Detail

MEDICARE: JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2

MEDICARE: JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1407702731
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Provider Business Mailing Address
First Line : 834 SHERIDAN ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2443
Country : US
Telephone Number : 360-385-2200
Fax Number :
Provider Business Practice Location Address
First Line : 915 SHERIDAN ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2931
Country : US
Telephone Number : 360-385-2200
Fax Number :
Authorized Official
Title or Position : PROVIDER ENROLLMENT
Name : MICHELLE CHRISTIANSEN
Credential :
Telephone Number : 360-385-2200
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 ” Practice Location

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