Richard Ney Canaan, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Port Angeles, WA
NPI 1497958359 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497958359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD00032574 (WA)
- Practice address
- 909 Georglanee Street
Vimo Clinic
Port Angeles, WA 98362-4709 - Phone
- (360) 457-4431
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032574 | WA | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00032574 | WA | Yes |
Addresses
Primary practice location
909 Georglanee Street
Vimo Clinic
Port Angeles, WA 98362-4709
Mailing address
1311 East Fifth Street
Port Angeles, WA 98362
Phone (360) 457-6985
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All providers in Port Angeles, WA · Orthopaedic Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.