| Doctor Name: | JOSEPH DOUWE RIENSTRA |
| NPI Number: | 1104264720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00012287 |
| Business Practice Address: | 708 Kearney St. Port Townsend, WA - 98368 |
| Business Phone Number: | 3603855658 |
| Business Fax Number: | 3603855142 |
| Mailing Address: | 708 Kearney St., PORT TOWNSEND |
| State: | WA |
| Postal Code: | 98368 |
| Phone Number: | 3603855658 |
| Fax Number: | 3603855142 |
| NPI Enumeration Date: | 06/05/2013 |
| NPI Last Update Date: | 06/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00012287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |