NPIMap

Organization Active NPI

Port Townsend Womens Clinic PLLC

  • Gynecology Physician
  • Port Townsend, WA
National Provider Identifier
1922038645
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
6024192145 Issued in WA
Legal business name
PORT TOWNSEND WOMENS CLINIC PLLC
Practice address
1136 Water St
Suite 105
Port Townsend, WA 98368-6728
Phone
(360) 344-3700
Fax
(360) 344-3707
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Robert Harding Palmer Jr., M.D.NPI 1992730790
Title
Manager
Phone
(360) 344-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 6024192145 WA Primary

Addresses

Primary practice location

1136 Water St
Suite 105
Port Townsend, WA 98368-6728

Mailing address

PO Box 1560
Port Townsend, WA 98368-0052
Phone (360) 344-3700

Other identifiers 1

IdentifierTypeStateIssuer
7125446MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1922038645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680052",
            "telephone_number": "360-344-3700",
            "fax_number": "360-344-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 WATER ST",
            "address_2": "SUITE 105",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686728",
            "telephone_number": "360-344-3700",
            "fax_number": "360-344-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND WOMENS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HARDING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-344-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "6024192145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125446",
            "state": "WA"
        }
    ],
    "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 Apr 15, 2011; 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.