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NOEUD DE PAPILLON LTD NPI 1568692705


NPI Information

NPI: 1568692705
Provider Name: NOEUD DE PAPILLON LTD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1334 LAWRENCE ST
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 385-4843
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NOEUD DE PAPILLON LTD is an addiction medicine psychiatry neurology in Port Townsend, WA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine NOEUD DE PAPILLON LTD NPI is 1568692705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1334 LAWRENCE ST
PORT TOWNSEND, WA
ZIP 98368-529
Phone: (360) 385-4843

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

The enumeration date for this NPI number is 7/22/2009 and was last updated on 8/20/2009.


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 License Number License State Primary
1208VP0000XPain MedicinePain MedicineMD00019338WASHINGTONNo
22084A0401XPsychiatry & NeurologyAddiction MedicineMD00019338WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G115000042MEDICARE UPINWASHINGTON
21797406MEDICAIDWASHINGTON

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

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