Provider Demographics
NPI:1366480931
Name:NOEUD DE PAPILLON
Entity Type:Organization
Organization Name:NOEUD DE PAPILLON
Other - Org Name:JAMES K ROTCHFORD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROTCHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-385-4843
Mailing Address - Street 1:1334 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6529
Mailing Address - Country:US
Mailing Address - Phone:360-385-4843
Mailing Address - Fax:360-379-1441
Practice Address - Street 1:1334 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-6529
Practice Address - Country:US
Practice Address - Phone:360-385-4843
Practice Address - Fax:360-379-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty