Healthcare Provider Details

I. General information

NPI: 1508898859
Provider Name (Legal Business Name): KITSAP PUBLIC HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 6TH ST SUITE 300
BREMERTON WA
98337-1866
US

IV. Provider business mailing address

345 6TH ST SUITE 300
BREMERTON WA
98337-1866
US

V. Phone/Fax

Practice location:
  • Phone: 360-337-5235
  • Fax: 360-337-5298
Mailing address:
  • Phone: 360-337-5235
  • Fax: 360-337-5298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT W LINDQUIST
Title or Position: DIRECTOR OF HEALTH
Credential: M.D., M.P.H.
Phone: 360-337-5237