| Organization Name: | INTEGRATIVE HEALTH SYSTEMS PS |
| NPI Number: | 1912096546 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J DOUWE RIENSTRA (OWNER / PRES) |
| Mailing Address: | 708 Kearney St. Port Townsend |
| State: | WA US |
| Postal Code: | 98368 |
| Phone Number: | 3603855658 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 05/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |