ST LAWRENCE LLC NPI 1295499309

NPI Information

NPI: 1295499309
Provider Name: ST LAWRENCE LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
5717 HILL STREET
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 385-4843
Get Directions

ST LAWRENCE LLC is an addiction medicine preventive medicine in Port Townsend, WA. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. ST LAWRENCE LLC NPI is 1295499309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5717 HILL STREET
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 385-4843
Fax: (360) 379-1441

The provider's authorized official is James Kimber Rotchford .
The authorized official title is President and has the following contact phone number (360) 385-4843.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
2	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
3	208D00000X	General Practice		No
4	2083A0300X	Preventive Medicine	Addiction Medicine	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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