| Sleep Medicine, Jefferson Healthcare | |
|
9833 Poplars Ave Nw Ste 104 Silverdale WA 98383-7675 | |
| (360) 698-0422 | |
| (360) 698-0463 |
| Full Name | Sleep Medicine, Jefferson Healthcare |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 9833 Poplars Ave Nw Ste 104, Silverdale, Washington |
| Authorized Official Name and Position | Kathy L Porter (REGISTRATION COORDINATOR) |
| Authorized Official Contact | 3603852200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Medicine, Jefferson Healthcare 834 Sheridan Ave Port Townsend WA 98368-2443 Ph: (360) 385-2200 | Sleep Medicine, Jefferson Healthcare 9833 Poplars Ave Nw Ste 104 Silverdale WA 98383-7675 Ph: (360) 698-0422 |
| NPI Number | 1467664631 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467664631 | NPI | - | NPPES |
| 3301900 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 3301900 (Washington) | Primary |
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