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Contact Information

PEACEHEALTH
1117 SPRING ST.
FRIDAY HARBOR, WA98250
 Phone: 360-378-2141
 Fax: 360-378-1793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PEACEHEALTH · (Female)

NPI # 1508129842
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2012
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 2028558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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