Healthcare Provider Details

I. General information

NPI: 1093993552
Provider Name (Legal Business Name): WASHINGTON ORTHOPAEDIC CENTER, INC., PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 COOKS HILL RD
CENTRALIA WA
98531-9073
US

IV. Provider business mailing address

1900 COOKS HILL RD
CENTRALIA WA
98531-9073
US

V. Phone/Fax

Practice location:
  • Phone: 360-736-2889
  • Fax: 360-736-3136
Mailing address:
  • Phone: 360-736-2889
  • Fax: 360-736-3136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00110526
License Number StateWA

VIII. Authorized Official

Name: DONDI SAHLINGER
Title or Position: NURSE
Credential: RN
Phone: 360-736-2889