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NPI 1871655738

NPI 1871655738 : STRAIT ORTHOPEDIC SPECIALISTS : PORT ANGELES, WA

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General NPI Number Information
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    NPI Number           |    1871655738
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRAIT ORTHOPEDIC SPECIALISTS 
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Dates
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    Enumeration Date     |    12/15/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1112 CAROLINE ST 
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    City                 |    PORT ANGELES
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    State                |    WA
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    Zip                  |    98362-4204
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    Country              |    US
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    Telephone            |    360-417-8630
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    Fax                  |    360-417-8635
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Provider Business Mailing Address
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    Address Line         |    1112 CAROLINE ST 
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    City                 |    PORT ANGELES
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    State                |    WA
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    Zip                  |    98362-4204
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    Country              |    US
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    Telephone            |    360-417-8630
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    Fax                  |    360-417-8635
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     REGINA MAY MCGOVERN 
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    Credential           |    M.D.
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    Telephone            |    360-417-8630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    MD00038187
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    MD00038187
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    OT00003652
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT00003652
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    License Number State |    WA
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