J Kirk Douglass, C.P.O.

NPI #1275539264 in Seattle, Washington

Provider Information

NPI Number: 1275539264
Entity Type: Individual
Name: J Kirk Douglass, C.P.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: C.P.O.
Enumeration Date: Jun 23, 2005
Last Updated: Apr 29, 2010

Practice Location

Address: 10740 MERIDIAN AVE N
Address 2: STE G2
City: Seattle
State: Washington
ZIP Code: 98133-9010
Phone: (206) 363-7790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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