Organization Active NPI

Quimper Family Medicine PC

  • Family Medicine Physician
  • Port Townsend, WA
National Provider Identifier
1083932917
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00038123 Issued in WA
Legal business name
QUIMPER FAMILY MEDICINE PC
Practice address
2120 Lawrence St
Port Townsend, WA 98368-7925
Phone
(360) 385-3826
Fax
(360) 385-3937
NPI assigned
May 17, 2010
Last updated
May 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Temple Ottaway, MD
Title
President
Phone
(360) 385-3826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00038123 WA Primary

Addresses

Primary practice location

2120 Lawrence St
Port Townsend, WA 98368-7925

Mailing address

2120 Lawrence St
Port Townsend, WA 98368-7925
Phone (360) 385-3826

National Provider Directory

National Provider Directory

Locations

2120 Lawrence St
Port Townsend, WA 98368
Phone (360) 344-8146

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1083932917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983687925",
            "telephone_number": "360-385-3826",
            "fax_number": "360-385-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983687925",
            "telephone_number": "360-385-3826",
            "fax_number": "360-385-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIMPER FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "OTTAWAY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "TEMPLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-385-3826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00038123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.