Pandora Canton

Individual provider Active NPI Religious Nonmedical Practitioner · Port Townsend, WA

NPI 1255100418 · NPPES record last updated Dec 28, 2023

Key facts

NPI
1255100418
Entity type
Individual (NPI type 1)
Primary specialty
Religious Nonmedical Practitioner 374K00000X
Practice address
2500 W Sims Way Ste 300
Port Townsend, WA 98368-2234
Phone
(360) 385-0610
Fax
(360) 379-8259
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 Past
since Dec 31, 2023
Accepting new patients
Jefferson County Public Hospital District No 2 Past
since Dec 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Practitioner 374K00000X Yes

Addresses

Primary practice location

2500 W Sims Way Ste 300
Port Townsend, WA 98368-2234

Mailing address

2500 W Sims Way Ste 300
Port Townsend, WA 98368-2234
Phone (360) 385-0610

Other providers in Port Townsend, WA

All providers in Port Townsend, WA · Religious Nonmedical Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.