JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI 1467664631

NPI Information

  • NPI: 1467664631
  • Provider Name: JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
  • Classification: Psychiatry & Neurology - 2084S0012X
  • Specialization: Sleep Medicine
  • Entity Type: Organization
  • Doing Business As: SLEEP MEDICINE, JEFFERSON HEALTHCARE
  • CLIA Number: 50D2171686
  • Address: 9833 POPLARS AVE NW STE 104
    SILVERDALE, WA
    ZIP 98383
  • Phone: (360) 698-0422

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NPI Details

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 is a sleep medicine psychiatry neurology in Silverdale, WA. The provider is a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI is 1467664631. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sleep Medicine, Jefferson Healthcare.

The provider's business location address is:

9833 POPLARS AVE NW STE 104
SILVERDALE, WA
ZIP 98383-675
Phone: (360) 698-0422
Fax: (360) 698-0463

The provider's authorized official is Kathy L Porter .
The authorized official title is Registration Coordinator and has the following contact phone number (360) 385-2200.

The CLIA number assigned to this NPI record is 50D2171686 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084S0012XPsychiatry & NeurologySleep Medicine3301900WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13301900MEDICAIDWASHINGTON
2501323MEDICARE OSCAR/CERTIFICATIONWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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