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Scot Bacon Athair, LPM
Specialist in Port Angeles, Washington
NPI 1710160544

Scot Bacon Athair is a Specialist based in Port Angeles, WA. Scot Bacon Athair practices in Port Angeles, WA and has the professional credentials of LPM. The NPI Number for Scot Bacon Athair is 1710160544 and holds a License No. MA00004385 (Washington).

The current practice location address for Scot Bacon Athair is 1111 E Front St, Port Angeles, WA and can be reached out via phone at 360-452-3017.

Location: 1111 E Front St, Port Angeles, WA, 98362-4307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710160544
Provider Name
Scot Bacon Athair
Credential
LPM
Provider Entity Type
Individual
Gender
Male
Address
1111 E Front St, Port Angeles, WA, 98362-4307
Phone Number
360-452-3017
Fax Number
Provider Enumeration Date
12/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 E Front St
City
Port Angeles
State
Washington
Zip
98362-4307
Phone Number
360-452-3017
Fax Number
person
Provider Business Mailing Address Details
Address
1111 E Front St
City
Port Angeles
State
Washington
Zip
98362-4307
Phone Number
360-452-3017
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00004385 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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