| Organization Name: | JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| NPI Number: | 1194032201 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY LEE PORTER (REGISTRATION COORDINATOR) |
| Mailing Address: | 1274 7th St Ste A Port Townsend |
| State: | WA US |
| Postal Code: | 983682404 |
| Phone Number: | 3603790477 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2010 |
| NPI Last Update Date: | 12/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | HAC.FS.00000085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |