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NPI Code Detail

MEDICARE: NOEUD DE PAPILLON

MEDICARE: NOEUD DE PAPILLON
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
1174400000XSpecialistWA

General Provider Information

NPI Number : 1366480931
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOEUD DE PAPILLON
Provider Business Mailing Address
First Line : 1334 LAWRENCE ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-6529
Country : US
Telephone Number : 360-385-4843
Fax Number : 360-379-1441
Provider Business Practice Location Address
First Line : 1334 LAWRENCE ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-6529
Country : US
Telephone Number : 360-385-4843
Fax Number : 360-379-1441
Authorized Official
Title or Position : OWNER
Name : DR. JAMES K ROTCHFORD
Credential : MD
Telephone Number : 360-385-4843
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/22/2020

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Directions to “NOEUD DE PAPILLON ” Practice Location

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