MEDICARE: DR. SCOTT A BILDSTEN DO

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
1	208800000X	Urology Physician	OP00001711	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0264450	OTHER	WA	STATE L&I
2	0264427	OTHER	WA	STATE L&I
3	0264446	OTHER	WA	STATE L&I
4	0291738	OTHER	WA	STATE L&I

General Provider Information

NPI Number	:	1861594384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT A BILDSTEN DO

Provider Business Mailing Address
First Line	:	451 SW SEDGWICK RD STE 220
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98367-6447
Country	:	US
Telephone Number	:	360-874-7300
Fax Number	:	360-874-7319

Provider Business Practice Location Address
First Line	:	451 SW SEDGWICK RD STE 220
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98367-6447
Country	:	US
Telephone Number	:	360-874-7300
Fax Number	:	360-874-7319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2006
Last Update Date	:	05/30/2012

Similar Medicare Providers

1932037348 — CASSANDRA LYNN HYRE PTA
Practice Location Address:

451 SW SEDGWICK RD
PORT ORCHARD, WA
98367-6447

Practice Phone: 360-845-1801
Practice Fax:

1063599280 — DR. ADRIENNE M LOPATA MD
Practice Location Address:

451 SW SEDGWICK RD , SUITE 110
PORT ORCHARD, WA
98367-6447

Practice Phone: 360-874-5900
Practice Fax: 360-874-5959

1871655100 — KATHRYN FONTANA DALE PT, OCS
Practice Location Address:

451 SW SEDGWICK RD , STE. 310
PORT ORCHARD, WA
98367-6447

Practice Phone: 360-874-8009
Practice Fax: 360-874-8010

1588701510 — MARGARET SANDLER PHD, ARNP
Practice Location Address:

451 SW SEDGWICK RD STE 110
PORT ORCHARD, WA
98367-6447

Practice Phone: 360-874-5900
Practice Fax: 360-874-5939

1831362284 — REBECCA ANN POTTER-VANHOOGSTRAAT PT, DPT
Practice Location Address:

451 SW SEDGWICK RD
PORT ORCHARD, WA
98367-6447

Practice Phone: 360-845-1801
Practice Fax:

1225267206 — DENA LARSEN DPT
Practice Location Address:

451 SW SEDGWICK RD , STE. 310
PORT ORCHARD, WA
98367-6447

Practice Phone: 360-874-8009
Practice Fax: 360-874-8010

Directions to “ DR. SCOTT A BILDSTEN DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.