1. Home
  2. Directory
  3. Washington
  4. Port Townsend
  5. Urology
  6. NPI Profile

JEFFERSON UROLOGY CLINIC
NPI 1174917033
Urology in Port Townsend, WA

Active since March 27, 2015
1274 7TH ST STE B, PORT TOWNSEND, WA 98368(360) 385-2905(360) 385-6796 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2020, Dec 17, 2018 (2 updates tracked since 2018).

About Jefferson Urology Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON UROLOGY CLINIC (NPI 1174917033) is a healthcare organization registered as an urology in Port Townsend, Washington and active in the NPI registry since March 2015. The organization lists Mike Glenn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174917033
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Location Address1274 7TH ST STE BPort Townsend, WA 98368-2404
Mailing Address834 Sheridan StPort Townsend, WA 98368-2443 · (360) 385-2200 · Fax (360) 379-2256
Phone(360) 385-2905
Fax(360) 385-6796
Organization SubpartNo
Authorized OfficialMike GlennCeo · (360) 385-2200
Enumeration DateMarch 27, 2015
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1174917033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · HAC.FS.00000085
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1274 7TH ST STE B, Port Townsend, WA 98368
Open in Google Maps ↗

Other Names 2

Doing Business AsJefferson Urology Clinic
Doing Business AsJefferson Healthcare Urology Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIMITRI KUZNETSOV, M.D. PLLC
Urology (Pediatric Urology)
1274 7TH ST STE B
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Public Hospital District No 2's NPI number?

The NPI number for Jefferson County Public Hospital District No 2 is 1174917033. It was assigned to this organization in the NPPES registry on March 27, 2015. The provider is doing business as Jefferson Urology Clinic and Jefferson Healthcare Urology Clinic.

Where is Jefferson County Public Hospital District No 2 located?

Jefferson County Public Hospital District No 2 is located at 1274 7th St Ste B, Port Townsend, WA 98368. The listed phone number is (360) 385-2905.

What is Jefferson County Public Hospital District No 2's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

What insurance does Jefferson County Public Hospital District No 2 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jefferson County Public Hospital District No 2 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson County Public Hospital District No 2 was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.