Healthcare Provider Details
I. General information
NPI: 1760520324
Provider Name (Legal Business Name): KITSAP PUBLIC HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2007
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 6TH STREET SUITE 300
BREMERTON WA
98337-1866
US
IV. Provider business mailing address
345 6TH STREET SUITE 300
BREMERTON WA
98337-1866
US
V. Phone/Fax
- Phone: 360-287-2235
- Fax:
- Phone: 360-337-5235
- Fax: 360-337-5298
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NATHAN
G
MORROW
Title or Position: HEALTH OFFICER
Credential: MD
Phone: 360-728-2260