PUGET SOUND WORK INJURY CLINIC, LLC (NPI# 1629636055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629636055 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND WORK INJURY CLINIC, LLC |
| Practice Address |
812 Cherry Ct Bremerton WA 98310 |
| Mailing Address |
Po Box 2017 Bremerton WA 98310-0231 |
| Practice Telephone | 3605098160 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | KATHY YVONNE BRADFORD (PARTNER) |
| Authorized Official Telephone | 3607704690 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
812 CHERRY CT |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750927471 | Courtney Grace Vinyard | Nurse Practitioner | 812 Cherry Ct, Bremerton, WA 98310 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| 1780830679 | Zheng Wu | Internal Medicine | 2720 Clare Avenue, Suite A, Bremerton, WA 98310 | 2008-08-12 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1912160466 | Human Development & Stress Management Center, LLC | Clinic/Center | 1007 Scott Ave Ste F, Bremerton, WA 98310-4874 | 2008-07-04 |
| 1902455058 | Erika O'leary Pllc | Clinic/Center | 1100 Wheaton Way Ste B, Bremerton, WA 98310-4459 | 2019-09-10 |
| 1912376005 | Peninsula Pain Clinic, Pllc | Clinic/Center | 2601 Cherry Ave Ste 200, Bremerton, WA 98310-4208 | 2015-09-18 |
| 1013383215 | Manette Clinic A Professional Service Corporation | Clinic/Center | 1100 Wheaton Way, Suite F and G, Bremerton, WA 98310-4459 | 2015-08-11 |
| 1255517074 | Charles E Moorhead Od Ps Inc | Clinic/Center | 6797 State Highway 303 Ne, Bremerton, WA 98311-3736 | 2008-01-10 |
| 1871541128 | Doctors Clinic A Professional Corporation | Clinic/Center | 1651 Ne Bentley Dr, Bremerton, WA 98311-3706 | 2006-05-05 |
| 1356309330 | Doctors Clinic Apc | Clinic/Center | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.